Correlation between Neurotransmitters (Dopamine, Epinephrine, Norepinephrine, Serotonin), Prognostic Nutritional Index, Glasgow Prognostic Score, Systemic Inflammatory Response Markers, and TNM Staging in a Cohort of Colorectal Neuroendocrine Tumor Patients.

Neuroendocrine tumors are uncommon in the gastrointestinal system but can develop in the majority of the body's epithelial organs. Our goal was to examine the presence and clinical application of serum dopamine (DA), serotonin (ST), norepinephrine (NE), and epinephrine (EPI), in addition to determining the significance of the Prognostic Nutritional Index (PNI), Glasgow Prognostic Score (GPS), and systemic inflammatory response (SIR) markers as a prognostic factor for patients with colorectal neuroendocrine tumors (CR-NETs), in various tumor-node-metastasis (TNM) stages. We also wanted to identify the possible connection between them. This study included 25 consecutive patients who were diagnosed with CR-NETs and a control group consisting of 60 patients with newly diagnosed colorectal cancer (CRC). We used the Enzyme-Linked Immunosorbent Assay (ELISA) technique. This study revealed that CR-NET patients showed significantly higher serum levels of DA compared to CRC patients. We showed that serum DA was present in the early stages of CR-NETs, with increasing levels as we advanced through the TNM stages. Moreover, we found a close relationship between the levels of DA and the inflammation and nutritional status of the CR-NET patients in this study. CR-NET patients from the PNI < 47.00 subgroup had a higher level of DA than those from the PNI ≥ 47.00 subgroup. Pearson's correlation analysis revealed correlations between DA, PNI, and the neutrophil/lymphocyte ratio (NLR) and the platelet/lymphocyte ratio (PLR). Both hematological indices were negatively correlated with albumin (ALB). Our investigation's findings relating to the PNI, GPS, SIR, and DA indicate that these tools can be markers of nutritional and systemic inflammatory status, are simple to use, and are repeatable. Further research on this topic could provide valuable insights into which biomarkers to incorporate into clinical practice for the management of CR-NET patients.

Drop impact onto immiscible liquid films floating on pools.

The interface dynamics of a droplet impacting onto a liquid pool has been well studied, and the common interfacial velocity quantified for the cases when the pool is both the same and a different fluid to the impacting droplet. In this work we investigate, experimentally and computationally, the scenario of a droplet impacting onto a pool of the same fluid coated by a layer of another fluid with various thicknesses. The effect of the film thickness on the penetration velocity of the upper droplet-film interface is measured for experiments and simulations, and carefully compared to theoretical predictions for early-to-moderate timescales in the limiting cases of: (i) zero film thickness, in which the film has no effect and thus behaves like a fluid on same fluid impact, and (ii) infinite film thickness, in which the underlying pool has no effect. For finite layer thickness cases we carefully quantify the transition between the two limiting scenarios, and provide insight into the interfacial and flow quantities of interest, with a robust transitional behaviour observed over a rich parametric landscape. This exploration provides new quantitative insight into the nonlinear behaviour of the multi-fluid systems in newly explored finite thickness regimes, as well as a clear delineation of their effect in the context of the noted distinguished limits, with films of up to one impacting drop diameter in thickness shown to induce meaningful interpretable changes in the resulting post-impact dynamics. We also explore longer timescale features of the lower interface dynamics, revealing comparatively lower velocities and larger film thicknesses as the liquid film viscosity is increased.

A new flow-based design for double-lumen needles.

Oocyte retrieval forms a crucial part of in vitro fertilisation treatment and its ultimate outcome. Standard double-lumen needles, which include a sequence of aspiration and flushing steps, are characterised by a similar success rate to single-lumen needles, despite their increased cost. A novel hydrodynamics-based needle called the OxIVF needle is proposed here, which is geared towards the generation of an internal flow field within the full follicular volume via laterally, rather than frontally, oriented flushing, leading to successful retrievals with no additional stress on the oocyte. A two-dimensional digital twin of the follicular environment is created and tested via multi-phase flow direct numerical simulation. Oocyte initial location within the follicle is varied, while quantities of interest such as velocity magnitude and vorticity are measured with a high level of precision. This provides insight into the overall fluid motion, as well as the trajectory and stresses experienced by the oocyte. A comparative benchmark set of tests indicated a higher success rate of the OxIVF needle of up to 100%, marking a significant improvement over the traditional double-lumen design whose success rate of no more than 75% was also highly dependent on the location of the needle tip inside the follicle. All forces measured during these tests showcase how the oocyte experiences stresses which are no larger than at the aspiration point, with the flow field providing a gentle steering effect towards the extraction region. Finally, the flow generation strategy maximises oocyte yield, unlocking new capabilities in both human and veterinary contexts.

Drop splashing after impact onto immiscible pools of different viscosities.

Droplet impact onto liquid pools is a canonical scenario relevant to numerous natural phenomena and industrial processes. However, despite their ubiquity, multi-fluid systems with the drop and pool consisting of different liquids are far less well understood. Our hypothesis is that the post-impact dynamics greatly depends on the pool-to-droplet viscosity ratioµp/µd, which we explore over a range of six orders of magnitude using a combination of experiments and theoretical approaches (mathematical modelling and direct numerical simulation). Our findings indicate that in this scenario the splashing threshold and the composition of the ejecta sheet are controlled by the viscosity ratio. We uncover that increasing the pool viscosity decreases the splashing threshold for high viscosity pools (µp/µd≳35) when the splash comes from the droplet. By contrast, for low viscosity pools, the splash sheet comes from the pool and increasing the pool viscosity increases the splashing threshold. Surprisingly, there are conditions for which no splashing is observed under the conditions attainable in our laboratory. Furthermore, considering the interface velocity together with asymptotic arguments underlying the generation of the ejecta has allowed us to understand meaningful variations in the pressure during impact and rationalise the observed changes in the splashing threshold.

Dipping into a new pool: The interface dynamics of drops impacting onto a different liquid.

When a drop impacts onto a pool of another liquid, the common interface will move down at a well-defined speed for the first few milliseconds. While simple mechanistic models and experiments with the same fluid used for the drop and pool have predicted this speed to be half the impacting drop speed, this is only one small part in a rich and intricate behavior landscape. Factors such as viscosity and density ratios greatly affect the penetration speed. By using a combination of high-speed photography, high-resolution numerical simulations, and physical modeling, we disentangle the different roles that physical fluid properties play in determining the true value of the postimpact interfacial velocity.

Management of a Patient with Tuberous Sclerosis with Urological Clinical Manifestations.

The tuberous sclerosis complex (TSC) is highly variable as far as its clinical presentation is concerned. For the implementation of appropriate medical surveillance and treatment, an accurate diagnosis is compulsory. TSC may affect the heart, skin, kidneys, central nervous system (epileptic seizures and nodular intracranial tumors-tubers), bones, eyes, lungs, blood vessels and the gastrointestinal tract. The aim of this paper is to report renal manifestations as first clinical signs suggestive of TSC diagnosis. A 20-year-old patient was initially investigated for hematuria, dysuria and colicky pain in the left lumbar region. The ultrasound examination of the kidney showed bilateral hyperechogenic kidney structures and pyelocalyceal dilatation, both suggestive of bilateral obstructive lithiasis, complicated by uretero-hydronephrosis. The computer tomography (CT) scan of the kidney showed irregular kidney margins layout, undifferentiated images between cortical and medullar structures, with non-homogenous round components, suggestive of kidney angiomyolipomas, bilateral renal cortical retention cysts, images of a calculous component in the right middle calyceal branches and a smaller one on the left side. The clinical manifestations and imaging findings (skull and abdominal and pelvis CT scans) sustained the diagnosis.