Degenerative disorders of joints, especially osteoarthritis (OA), result in persistent pain and disability and high costs to society. Nevertheless, the molecular mechanisms of OA have not yet been fully explained. OA is characterized by destruction of cartilage and loss of extracellular matrix (ECM). It is generally agreed that there is an association between pro-inflammatory cytokines and the development of OA. There is increased expression of matrix metalloproteinase (MMP) and "a disintegrin and metalloproteinase with thrombospondin motifs" (ADAMTS). Mesenchymal stem cells (MSCs) have been explored as a new treatment for OA during the last decade. It has been suggested that paracrine secretion of trophic factors, in which exosomes have a crucial role, contributes to the mechanism of MSC-based treatment of OA. The paracrine secretion of exosomes may play a role in the repair of joint tissue as well as MSC-based treatments for other disorders. Exosomes isolated from various stem cells may contribute to tissue regeneration in the heart, limbs, skin, and other tissues. Recent studies have indicated that exosomes (or similar particles) derived from MSCs may suppress OA development. Herein, for first time, we summarize the recent findings of studies on various exosomes derived from MSCs and their effectiveness in the treatment of OA. Moreover, we highlight the likely mechanisms of actions of exosomes in OA.
18 F-fluorocholine is a specific promising agent for imaging tumor cell proliferation, particularly in prostate cancer, using PET/CT. It is a beneficial tool in the early detection of marrow-based metastases because it excludes distant metastases and evaluates the response to hormone therapy. In addition, 18 F-fluorocholine has the potential to differentiate between degenerative and malignant osseous abnormalities because degenerative changes are not cholineavid; however, the agent may accumulate in recent traumatic bony lesions. On the other hand, 18 F-NaF PET/CT can indicate increased bone turnover and is generally used in the assessment of primary and secondary osseous malignancies, the evaluation of response to treatment, and the clarification of abnormalities on other imaging modalities or clinical data. 18 F-NaF PET/CT is a highly sensitive method in the evaluation of bone metastases from prostate cancer, but it has problematic specificity, mainly because of tracer accumulation in degenerative and inflammatory bone diseases. In summary, 18 FNaF PET/CT is a highly sensitive method, but 18 F-fluorocholine PET/CT can detect early bone marrow metastases and provide greater specificity in the detection of bone metastases in patients with prostate cancer. However, the difference seems not to be significant.
This paper presents the simultaneous application of Minkowski fractal geometry and EBG structures for mutual coupling reduction in microstrip array antennas for the first time. In this approach, a modified version of Minkowski fractal geometry is applied on the patch elements, and at the same time 1D electromagnetic bandgap (EBG) structures, composed of 4 EBG elements, are placed between the array elements in a very close distance. Unlike many other coupling reduction methods, which have at least one of the issues of gain reduction or complex fabrication, the proposed method does need any via or double-sided etching and slightly increases the gain of the antenna, while an excellent reduction level of 22.7 dB has been achieved. To verify the concept, 2 array antennas with the spacing of λ 0 and λ 0 /3 were fabricated and tested, showing very good agreement between predicted and measured results.
Background: Primary actinomycosis of the breast is a rare disease which may present as sinus tract or with mass-like features mimicking malignancy. Clinical presentation makes it difficult to distinguish primary actinomycosis from mastitis and inflammatory carcinoma. Case Report: A 48-year-old woman presented with a mass in the left breast of 2 months duration. Physical examination was significant for a non-tender mass in the left breast. Histopathologic examination of the excisional biopsy of the mass showed granulomatous inflammation with grains of Actinomyces israelii. Conclusions: Actinomycosis of the breast usually presents as a recurrent abscess with fistulas. It may sometimes present as a breast lump, which is difficult to distinguish from inflammatory carcinoma. The diagnosis is made by histopathologic examination of the specimen, in which we can see the characteristic sulfur granules representing the bacterial colonies. Prolonged antibiotic therapy with penicillin is the treatment of choice.
The sudden COVID-19 pandemic has caused a serious global concern due to infections and mortality rates. It is a hazardous disease that has recently become the biggest crisis in the modern era. Due to the limitation of test kits and the need for screening and rapid diagnosis of patients, it is essential to perform a self-operating detection model as a fast recognition system to detect COVID-19 infection and prevent the spread among the people. In this paper, we propose a novel technique called Fast COVID-19 Detector (FCOD) to have a fast detection of COVID-19 using X-ray images. The FCOD is a deep learning model based on the Inception architecture that uses 17 depthwise separable convolution layers to detect COVID-19. Depthwise separable convolution layers decrease the computation costs, time, and they can have a reducing role in the number of parameters compared to the standard convolution layers. To evaluate FCOD, we used covid-chestxray-dataset, which contains 940 publicly available typical chest X-ray images. Our results show that FCOD can provide accuracy, F1-score, and AUC of 96%, 96%, and 0.95%, respectively in classifying COVID-19 during 0.014 s for each case. The proposed model can be employed as a supportive decision-making system to assist radiologists in clinics and hospitals to screen patients immediately.
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