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1.
ACS Omega ; 9(16): 18148-18159, 2024 Apr 23.
Article in English | MEDLINE | ID: mdl-38680354

ABSTRACT

Herein, we present a detailed comparative study of the structural, elastic, electronic, and magnetic properties of a series of new halide perovskite AgCrX3 (X: F, Cl, Br, I) crystal structures using density functional theory, mean-field theory (MFT), and quantum Monte Carlo (MC) simulations. As demonstrated by the negative formation energy and Born-Huang stability criteria, the suggested perovskite compounds show potential stability in the cubic crystal structure. The materials are ductile because the Pugh's ratio is greater than 1.75, and the Cauchy pressure (C12-C44) is positive. The ground state magnetic moments of the compound were calculated as 3.70, 3.91, 3.92, and 3.91 µB for AgCrF3, AgCrCl3, AgCrBr3, and AgCrI3, respectively. The GGA + SOC computed spin-polarized electronic structures reveal ferromagnetism and confirm the metallic character in all of these compounds under consideration. These characteristics are robust under a ±3% strained lattice constant. Using relativistic pseudopotentials, the total energy is calculated, which yields that the single ion anisotropy is 0.004 meV and the z-axis is the hard-axis in the series of AgCrX3 (X: F, Cl, Br, and I) compounds. Further, to explore room-temperature intrinsic ferromagnetism, we considered ferromagnetic and antiferromagnetic interactions of the magnetic ions in the compounds by considering a supercell with 2 × 2 × 2 dimensions. The transition temperature is estimated by two models, namely, MFT and MC simulations. The calculated Curie temperatures using MC simulations are 518.35, 624.30, 517.94, and 497.28 K, with ±5% error for AgCrF3, AgCrCl3, AgCrBr3, and AgCrI3 compounds, respectively. Our results suggest that halide perovskite AgCrX3 compounds are promising materials for spintronic nanodevices at room temperature and provide new recommendations. For the first time, we report results for novel halide perovskite compounds based on Ag and Cr atoms.

2.
J Environ Manage ; 358: 120918, 2024 May.
Article in English | MEDLINE | ID: mdl-38643625

ABSTRACT

The aging process of microplastics (MPs) could significantly change their physical and chemical characteristics and impact their migration behavior in soil. However, the complex effects of different cations and humic acids (HA) on the migration of aged MPs through saturated media are not clear. In this research, the migration and retention of pristine/aged PSMPs (polystyrene microplastics) under combined effects of cations (Na+, Ca2+) (ionic strength = 10 mM) and HA (0, 5, 15 mg/L) were investigated and analyzed in conjunction with the two-site kinetic retention model and DLVO theory. The findings showed that the aging process accelerated PSMPs migration under all tested conditions. Aged PSMPs were less susceptible to Ca2+ than pristine PSMPs. Under Ca2+ conditions, pristine/aged PSMPs showed higher retention than under Na+ conditions in the absence of HA. Furthermore, under Na+ conditions, the migration of aged PSMPs significantly increased at higher concentrations of HA. However, under Ca2+ conditions, the migration of aged PSMPs decreased significantly at higher concentrations of HA. In higher HA conditions, HA, Ca2+, and PSMPs interact to cause larger aggregations, resulting in the sedimentation of aged PSMPs. The DLVO calculations and two-site kinetic retention models' results showed the detention of PSMPs was irreversible under higher HA conditions (15 mg/L) with Ca2+, and aged PSMPs were more susceptible to clogging. These findings may help to understand the potential risk of migration behavior of PSMPs in the soil-groundwater environment.


Subject(s)
Cations , Humic Substances , Microplastics , Polystyrenes , Polystyrenes/chemistry , Microplastics/toxicity , Cations/chemistry , Porosity , Kinetics , Soil/chemistry
3.
Histochem Cell Biol ; 161(2): 165-181, 2024 Feb.
Article in English | MEDLINE | ID: mdl-37847258

ABSTRACT

Burn injuries pose a significant healthcare burden worldwide, often leading to long-term disabilities and reduced quality of life. To explore the impacts of the transplantation of mesenchymal stem cells (MSCs) on the healing of burns and the levels of serum cytokines, 60 fully grown Sprague-Dawley rats were randomly divided into three groups (n = 20 each): group I (control), group II (burn induction), and group III (burn induction + bone marrow (BM)-MSC transplantation). Groups II and III were further divided into four subgroups (n = 5 each) based on euthanasia duration (7, 14, 21, and 28 days post transplant). The experiment concluded with an anesthesia overdose for rat death. After 7, 14, 21, and 28 days, the rats were assessed by clinical, laboratory, and histopathology investigations. The results revealed significant improvements in burn healing potentiality in the group treated with MSC. Furthermore, cytokine levels were measured, with significant increases in interleukin (IL)-6 and interferon alpha (IFN) observed, while IL-10 and transforming growth factor beta (TGF-ß) decreased at 7 days and increased until 28 days post burn. Also, the group that underwent the experiment exhibited increased levels of pro-inflammatory cytokines and the anti-inflammatory cytokine IL-10 when compared to the control group. Histological assessments showed better re-epithelialization, neovascularization, and collagen deposition in the experimental group, suggesting that MSC transplantation in burn wounds may promote burn healing by modulating the immune response and promoting tissue regeneration.


Subject(s)
Mesenchymal Stem Cell Transplantation , Skin , Rats , Animals , Skin/metabolism , Interleukin-10/metabolism , Quality of Life , Rats, Sprague-Dawley , Wound Healing , Cytokines/metabolism
4.
Chemosphere ; 338: 139621, 2023 Oct.
Article in English | MEDLINE | ID: mdl-37487973

ABSTRACT

The earth's nitrogen cycle relies on the effective conversion of nitrogen (N2) to ammonia (NH3). As a result, the research and development of catalysts that are earth-abundant, inexpensive, and highly efficient but do not need precious metals is of the utmost significance. In this investigation, we present a controlled synthesis technique to the fabrication of an iron oxide (Fe2O3) nanosheet array by annealing at temperatures ranging from 350 to 550 °C. This array will be used for the electrochemical reduction of atmospheric N2 to NH3 in electrolytes. The Fe2O3 nanosheet array that was produced as a result displays outstanding electrochemical performance as well as remarkable stability. When compared to a hydrogen electrode working under normal temperature and pressure conditions, the Fe2O3 nanosheet array produces an impressive NH3 production rate of 18.04 g per hour per mg of catalytically active material in 0.1 M KOH electrolyte, exhibiting an enhanced Faradaic efficiency (FE) of 13.5% at -0.35 V. This is accomplished by exhibiting an enhanced Faradaic efficiency (FE) of 0.1 M KOH electrolyte. The results of experiments and electrochemical studies reveal that the existence of cation defects in the Fe2O3 nanosheets plays an essential part in the enhancement of the electrocatalytic activity that takes place during nitrogen reduction reactions (NRR). This study not only contributes to the expanding family of transition-metal-based catalysts with increased electrocatalytic activity for NRR, but it also represents a substantial breakthrough in the design of catalysts that are based on transition metals, so it's a win-win. In addition, the use of Fe2O3 nanosheets as electrocatalysts has a lot of potential in algal membrane bioreactors because it makes nitrogen fixation easier, it encourages algae growth, and it makes nitrogen cycling more resource-efficient.


Subject(s)
Ammonia , Bioreactors , Prospective Studies , Nitrogen
5.
Chemosphere ; 323: 138196, 2023 May.
Article in English | MEDLINE | ID: mdl-36842558

ABSTRACT

World estimated municipal solid waste generating at an alarming rate and its disposal is a severe concern of today's world. It is equivalent to 0.79 kg/d per person footprint and causing climate change; health hazards and other environmental issues which need attention on an urgent basis. Waste to energy (WTE) considers as an alternative renewable energy potential to recover energy from waste and reduce the global waste problems. WTE reduced the burden on fossil fuels for energy generation, waste volumes, environmental, and greenhouse gases emissions. This critical review aims to evaluate the source of solid waste generation and the possible routes of waste management such as biological landfill and thermal treatment (Incineration, pyrolysis, and gasification). Moreover, a comparative evaluation of different technologies was reviewed in terms of economic and environmental aspects along with their limitations and advantages. Critical literature revealed that gasification seemed to be the efficient route and environmentally sustainable. In addition, a framework for the gasification process, gasifier types, and selection of gasifiers for MSW was presented. The country-wise solutions recommendation was proposed for solid waste management with the least impact on the environment. Furthermore, key issues and potential perspectives that require urgent attention to facilitate global penetration are highlighted. Finally, practical implications of membrane and comparison membrane-based separation technology with other conventional technologies to recover bioenergy and resources were discussed. It is expected that this study will lead towards practical solution for future advancement in terms of economic and environmental concerns, and also provide economic feasibility and practical implications for global penetration.


Subject(s)
Refuse Disposal , Waste Management , Humans , Solid Waste/analysis , Incineration , Conservation of Natural Resources , Waste Disposal Facilities
6.
Sci Total Environ ; 739: 139903, 2020 Oct 15.
Article in English | MEDLINE | ID: mdl-32544683

ABSTRACT

Water has a wide-ranging effect on all aspects of human life, such as health and food. However, the water has often become polluted by the waste of our industrial, agricultural, and day-to-day activities due to the impact of humans. Therefore, there is an urgent need for new technologies to remove the contaminants from water and wastewater. Thence, many ways and techniques have been developed for water and wastewater remediation. Among all the methods of water and wastewater remediation techniques, the adsorption process has gained tremendous importance as a suitable water and wastewater remediation. The application of nanoadsorbent materials is a growing solution to solving this environmental problem. The unique physical and chemical properties of nanoadsorbents enhance their application due to its higher in ranking, status, and quality and beneficial in different fields compared to traditional adsorbents. Recently, numerous studies reported that the nanosorbent materials have a great and quite promising effect on water and wastewater treatment such as carbon tube, polymeric, zeolites, metal and metal oxides nanosorbents. Thus, the aim of this review article is to provide new data on the study and the improvement in this specific field, and to provide a version of the uses, benefits and restrictions of nanosorbents in water and wastewater remediation.

7.
ACS Omega ; 4(5): 8406-8412, 2019 May 31.
Article in English | MEDLINE | ID: mdl-31459929

ABSTRACT

A lot of insecticides are found nowadays, but neonicotinoids are considered the most famous. So, a series of pyridine derivatives neonicotinoids analogues, namely, 3-cyano-4,6-dimethylpyridine-2(1H)-one (1), 2-chloro-3-cyano-4,6-dimethylpyridine (2), 3-cyano-4,6-dimethylpyridine-2(1H)-thione (3), 3-cyano-4,6-distyrylpyridine-2(1H)-thione (4), 2-((3-cyano-4,6-distyrylpyridin-2-yl)thio)-N-phenylacetamide (5), 3-amino-N-phenyl-4,6-distyrylthieno[2,3-b]pyridine-2-carboxamide (6), 2-((3-cyano-4,6-distyrylpyridin-2-yl)thio)-N-(p-tolyl)acetamide (7), 3-amino-4,6-distyryl-N-(p-tolyl)thieno[2,3-b]pyridine-2-carboxamide (8), 2-((3-cyano-4,6-distyrylpyridin-2-yl)thio)-N-(4-methoxyphenyl)acetamide (9), and 3-amino-N-(4-methoxyphenyl)-4,6-distyrylthieno[2,3-b]pyridine-2-carboxamide (10), have been designed and synthesized in pure state, and their agricultural bioefficacy as insecticides against cowpea aphid Aphis craccivora Koch was screened. The structures of the synthesized compounds were verified by means of spectroscopic and elemental analyses. Insecticidal bioefficacy data illustrated that some compounds are excellent against cowpea aphid, and the bioefficacy of the rest of the tested compounds ranged from good to moderate against the same insects.

8.
Toxicol Rep ; 6: 100-104, 2019.
Article in English | MEDLINE | ID: mdl-30622903

ABSTRACT

Neonicotinoids are the most widely used from all existing pesticides. So, in purpose to discover new pesticides being more effective against the aphid, twelve heterocyclic compounds neonicotinoid analogs have been prepared in a pure state; pyrimidothienotetrahydroisoquinolines 1-12 and their toxicity as potential insecticidal agents against cowpea Aphid, Aphis craccivora Koch was screened. Their characterizations by using spectroscopic analyses were performed. The toxicity data exhibited that the 8-chloropyrimidine compound 4 is more toxic about 2-fold than a reference insecticide, acetamiprid. The other screened compounds showed weak to strong toxicological activities against cowpea aphid.

9.
Gulf J Oncolog ; 1(25): 27-34, 2017 Sep.
Article in English | MEDLINE | ID: mdl-29019327

ABSTRACT

OBJECTIVES: The disclosure to patients of unfavorable news related to cancer remains a controversial issue in the Middle East. This study investigated the perspective of the public in Saudi Arabia regarding the disclosure of unfavorable cancer-related news. METHODS: A convenience sample of 103 adult noncancer patients attending a family medicine clinic were asked to respond to 9 closed-ended questions. These questions reflected possible adverse news from the time of diagnosis until the end of life. The primary endpoint was an affirmative response (AR) to =7 questions (AR=7) indicating a preference to be informed of the majority (=78%) of adverse situations. RESULTS: One hundred individuals completed the questionnaire. Of these, 56 (56%) were male, and 44 (44%) were female. The median age was 32 years (18-75 years). Different questions were answered affirmatively by 76-99% of the responders. An AR=7 was reported by 83% of the responders. There was no statistically significant correlation between an AR=7 and age, gender or employment status (Chi-squared P values: 0.731, 0.427, and 0.148, respectively). There was a trend towards an AR=7 among those with higher levels of education compared to those with a lower level of education (88% and 73%, respectively, P=0.055). CONCLUSION: The results of this study suggest that the majority of Saudi Arabians prefer to be informed of most of the adverse health-related news if diagnosed with cancer. These results should encourage physicians to keep cancer patients informed of their health-related events unless the patient indicates otherwise.


Subject(s)
Neoplasms/diagnosis , Truth Disclosure/ethics , Adolescent , Adult , Aged , Female , Humans , Male , Middle Aged , Middle East , Young Adult
10.
Asia Pac J Clin Oncol ; 13(5): e364-e372, 2017 Oct.
Article in English | MEDLINE | ID: mdl-27001293

ABSTRACT

AIM: This study evaluated the survival outcome, pattern of failure and prognostic factors in cervix uteri cancer patients. METHODS: We reviewed the data of 60 patients with stages IB-IVA cancer who were treated between January 2004 and December 2010. RESULTS: Most patients (n = 50; 83%) had squamous cell carcinoma. Stage IIB was the most common presentation (n = 41; 68%). Forty-seven patients (78%) received Cisplatin concurrent with radiotherapy (CRT). The 2- and 4-year overall survival (OS) was 82% and 79%, respectively. Prolongation of the overall treatment time (OAT) for greater than 56 days, advanced stage and pretreatment hemoglobin (Hb) levels (<10 g/dL) negatively predicted OS (P = 0.039, P = 0.044 and P = 0.008, respectively). The 2- and 4-year disease-free survival (DFS) rates were 80% and 69%, respectively. Vaginal infiltration and brachytherapy (orthogonal versus CT-based planning) were significant factors for the prediction of relapse (P = 0.048 and P = 0.049, respectively). The 2- and 4-year loco-regional control (LRC) rates were 78% and 70%, respectively, and the distant metastasis-free survival (DMFS) rates were 82% and 79%, respectively. Vaginal infiltration was the only negative predictive factor for LRC (P = 0.045), and pathological tumor grade was the only factor indicative of distant metastases (P = 0.037). Grade 3 or 4 late rectal reactions were reported in two patients (3%), and no patients developed grade 3 or 4 urinary reactions. CONCLUSION: The treatment results in our cervix uteri cancer patients and the prognostic factors are comparable to those of previous reports. Orthogonal brachytherapy planning and vaginal infiltration negatively predicted relapse.


Subject(s)
Uterine Cervical Neoplasms/mortality , Uterine Cervical Neoplasms/therapy , Adult , Aged , Disease-Free Survival , Female , Humans , Middle Aged , Retrospective Studies , Saudi Arabia/epidemiology , Survival Rate , Treatment Outcome , Uterine Cervical Neoplasms/pathology
11.
Hepatogastroenterology ; 62(138): 291-4, 2015.
Article in English | MEDLINE | ID: mdl-25916051

ABSTRACT

BACKGROUND/AIMS: Lymph node ratio (LNR) defined as the number of lymph nodes (LNs) involved with metastases divided by number of LNs examined, has been shown to be an independent prognostic factor in breast, stomach and various other solid tumors. Its significance as a prognostic determinant in colorectal cancer (CRC) is still under investigation. This study investigated the prognostic value of LNR in patients with resected CRC. METHODOLOGY: We retrospectively ex- amined 145 patients with stage II & III CRC diagnosed and treated at a single institution during 9 years pe- riod. Patients were grouped according to LNR in three groups. Group 1; LNR < 0.05, Group 2; LNR = 0.05-0.19 & Group 3 > 0.19. Chi square, life table analysis and multivariate Cox regression were used for statistical analysis. RESULTS: On multivariate analysis, number of involved LNs (NILN) (HR = 1.15, 95% CI 1.055-1.245; P = 0.001) and pathological T stage (P = 0.002) were statistically significant predictors of relapse free survival (RFS). LNR as a continuous variable (but not as a categorical variable) was statistically significant predictor of RFS (P = 0.02). LNR was also a statistically significant predictor of overall survival (OS) (P = 0.02). CONCLUSION: LNR may predict RFS and OS in patients with resected stage II & III CRC. Studies with larger cohorts and longer follow up are needed to further examine and validate theprognostic value of LNR.


Subject(s)
Carcinoma/secondary , Colorectal Neoplasms/pathology , Lymph Nodes/pathology , Adult , Aged , Aged, 80 and over , Carcinoma/mortality , Carcinoma/surgery , Chi-Square Distribution , Colorectal Neoplasms/mortality , Colorectal Neoplasms/surgery , Disease-Free Survival , Egypt , Female , Humans , Lymph Nodes/surgery , Lymphatic Metastasis , Male , Middle Aged , Multivariate Analysis , Neoplasm Recurrence, Local , Neoplasm Staging , Proportional Hazards Models , Retrospective Studies , Risk Factors , Time Factors , Treatment Outcome
12.
Saudi Med J ; 35(10): 1215-22, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25316466

ABSTRACT

OBJECTIVES: To investigate the clinical and histopathological characteristics, with the prognostic factors, treatment outcome, pattern of relapse, and survival analysis of uterine sarcoma patients. METHODS: All patients with histologically proven uterine sarcoma were identified using the database at King Abdulaziz University Hospital, Jeddah, Saudi Arabia between January 2000 and December 2012. RESULTS: A total of 36 patients with uterine sarcoma were reviewed. The median age of all patients was 57 years, and the mean age was 57.72+/-13.17 years. Carcinosarcoma was reported in 21 patients (58%), leiomyosarcoma in 7 (19%), undifferentiated endometrial sarcoma in 6 (17%), and rhabdomyosarcoma in 2 (6%). Approximately half of the patients were stages III and IV (28% and 25%), while 15 patients (41%) were stage I; only 2 patients (6%) were stage II. The surgical treatment was hysterectomy and bilateral salpingoophorectomy (H+BSO) plus staging in 18 patients (50%), while in 4 patients (19%), H+BSO plus debulking was performed. Adjuvant chemotherapy was given in 24 (69%) and adjuvant radiotherapy in 5 (14%) cases, At a median follow-up period of 13.5 months, 8 patients (22%) relapsed. The 2-year disease-free survival (DFS) rate was 22% and the 5-year was 14%. In the multivariate analysis, the advanced stages  (p=0.015) and lymph vascular invasion (p=0.0001) were associated with poor DFS, while the use of chemotherapy significantly improved the DFS (p=0.027). CONCLUSIONS: The poor outcome of high-grade uterine sarcoma patients was identified, and only one third of patients (30%) survived for 2 years. This finding necessitates the need for more aggressive tools to fight this disease. 


Subject(s)
Hysterectomy , Sarcoma/therapy , Uterine Neoplasms/therapy , Adult , Aged , Carcinosarcoma/pathology , Carcinosarcoma/therapy , Chemotherapy, Adjuvant , Cohort Studies , Disease-Free Survival , Female , Humans , Leiomyosarcoma/pathology , Leiomyosarcoma/therapy , Middle Aged , Neoplasm Grading , Neoplasm Staging , Ovariectomy , Radiotherapy, Adjuvant , Retrospective Studies , Rhabdomyosarcoma/pathology , Rhabdomyosarcoma/therapy , Salpingectomy , Sarcoma/pathology , Sarcoma, Endometrial Stromal/pathology , Sarcoma, Endometrial Stromal/therapy , Treatment Outcome , Uterine Neoplasms/pathology
13.
J Agric Food Chem ; 62(41): 9982-6, 2014 Oct 15.
Article in English | MEDLINE | ID: mdl-25226271

ABSTRACT

Five pyridine derivatives, namely, N-morpholinium 7,7-dimethyl-3-cyano-4-(4'-nitrophenyl)-5-oxo-1,4,5,6,7,8-hexahydroquinoline-2-thiolate (1), sodium 5-acetyl-3-amino-4-(4'-methoxyphenyl)-6-methylthieno[2,3-b] pyridine-2-carboxylate (2), piperidinium 3,5-dicyano-2-oxo-4-spirocyclopentane-1,2,3,4-tetrahydropyridine-6-thiolate (3), piperidinium 5-acetyl-3-cyano-4-(4'-methoxyphenyl)-6-methylpyridine-2-thiolate (4), and piperidinium 5-acetyl-4-(4'-chlorophenyl)-3-cyano-6-methyl-pyridine-2-thiolate (5) were prepared in pure state and subjected to the title study. The bioassay results indicated that the insecticidal activity of compound 1 is about 4-fold that of acetamiprid insecticide. The rest of the tested compounds possess moderate to strong aphidicidal activities.


Subject(s)
Aphids/drug effects , Insecticides/chemistry , Insecticides/toxicity , Pyridines/chemistry , Pyridines/toxicity , Animals , Insecticides/chemical synthesis , Molecular Structure
14.
Chemosphere ; 99: 117-24, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24268171

ABSTRACT

Equilibrium and kinetics of Cu(2+) adsorption onto soil minerals (kaolinite and hematite) in the absence and presence of humic acid have been investigated under various conditions. The influences of ionic strength, pH and solution cations on the rate of the adsorption have been studied. The rate and the amount of adsorbed Cu(2+) onto soil minerals in the absence or the presence of humic acid increased with decreasing ionic strength, increasing pH and in the presence of the background electrolyte K(+) rather than Ca(2+). Humic acid enhanced the rate and the amount of adsorbed Cu(2+) onto soil minerals. The adsorption equilibrium data showed that adsorption behavior of Cu(2+) could be described more reasonably by Langmiur adsorption isotherm than Freundlich isotherm in the absence or presence of humic acid. Pseudo first and pseudo second order models were used to evaluate the kinetic data and the rate constants. The results indicated that the adsorption of Cu(2+) onto hematite and kaolinite in the absence and presence of humic acid is more conforming to pseudo second order kinetics.


Subject(s)
Copper/chemistry , Models, Chemical , Soil Pollutants/chemistry , Soil/chemistry , Adsorption , Cations/chemistry , Copper/analysis , Electrolytes/chemistry , Humic Substances/analysis , Hydrogen-Ion Concentration , Kinetics , Minerals/chemistry , Osmolar Concentration , Soil Pollutants/analysis
15.
J Phys Chem A ; 116(45): 10889-96, 2012 Nov 15.
Article in English | MEDLINE | ID: mdl-23075223

ABSTRACT

Kinetics of humic acid (HA) adsorption onto soil minerals (kaolinite and hematite) has been investigated under various conditions. The influence of ionic strength, pH, and solution cations on the rate of adsorption has been studied. The rate and the amount of adsorbed humic acid onto soil minerals increased with increasing ionic strength, decreasing pH, and in the presence of Ca(2+) as background electrolyte. The adsorption equilibrium data showed that adsorption behavior of humic acid could be described more reasonably by Freundlich adsorption isotherm than Langmiur adsorption isotherm. Pseudo first order and pseudo second order kinetic models were used to evaluate the kinetic data and the rate constants. The results explained that humic acid adsorption on hematite and kaolinite was more conforming with pseudo second order kinetics.

16.
Brachytherapy ; 10(6): 498-502, 2011.
Article in English | MEDLINE | ID: mdl-21640661

ABSTRACT

PURPOSE: To investigate the correlation between the dose predicted by the treatment planning system using digitally reconstructed radiographs or three-dimensional (3D)-reconstructed CT images and the dose measured by semiconductor detectors, under clinical conditions of high-dose-rate brachytherapy of the cervix uteri. PATIENTS AND METHODS: Thirty-two intracavitary brachytherapy applications were performed for 12 patients with cancer of the cervix uteri. The prescribed dose to Point A was 7 Gy. Dose was calculated for both International Commissioning on Radiation Units and Measurements (ICRU) bladder and rectal points based on digitally reconstructed radiographs and for 3D CT images-based volumetric calculation of the bladder and rectum. In vivo diode dosimetry was performed for the bladder and rectum. RESULTS: The ICRU reference point and the volumes of 1, 2, and 5cm(3) received 3.6±0.9, 5.6±2.0, 5.1±1.7, 4.3±1.4 and 5.0±1.2, 5.3±1.3, 4.9±1.1, and 4.2±0.9 Gy for the bladder and rectum, respectively. The ratio of the 1cm(3) and the ICRU reference point dose to the diode dose was 1.8±0.7 and 1.2±0.5 for the bladder and 1.9±0.6 and 1.7±0.5 for the rectum, respectively. CONCLUSIONS: 3D image-based dose calculation is the most accurate and reliable method to evaluate the dose given to critical organs. In vivo diode dosimetry is an important method of quality assurance, but clinical decisions should be made based on 3D-reconstructed CT image calculations.


Subject(s)
Brachytherapy/methods , Radiotherapy Planning, Computer-Assisted , Uterine Cervical Neoplasms/radiotherapy , Female , Humans , Image Interpretation, Computer-Assisted/methods , Organ Size , Radiotherapy Dosage , Rectum/diagnostic imaging , Rectum/pathology , Semiconductors , Tomography, X-Ray Computed , Urinary Bladder/diagnostic imaging , Urinary Bladder/pathology
17.
Saudi Med J ; 32(5): 495-503, 2011 May.
Article in English | MEDLINE | ID: mdl-21556471

ABSTRACT

OBJECTIVE: To compare the inverse planning optimization based on total dose constraints versus conventional treatment plan (point A planning method) for cervical carcinoma, and evaluate the benefit of CT-based image-guided brachytherapy. METHODS: We prospectively analyzed data of 10 consecutive patients with cervical cancer treated with external beam radiotherapy to the whole pelvis (45 Gy in 25 fractions) followed by high-dose-rate (HDR) brachytherapy (21 Gy in 3 fractions). For treatment planning of HDR brachytherapy, the basic equations of the linear-quadratic model were used to calculate the physical dose for each brachytherapy fraction needed to achieve a given total iso-effective dose for the whole treatment. Specific dosimetric parameters are evaluated for high risk (HR CTV), intermediate risk (IR CTV) clinical target volumes, and organs at risk (OARs). RESULTS: In conventional plans, the HR CTV was well covered in only 15/31, and the IR CTV in 7/31 of the brachytherapy implants, while dose constraints of OARs bladder and rectum were respected in 28/31 and 14/31 implants. After optimization, the HR CTV and IR CTV dose constraints were respected in all the implants, and the bladder and rectum of cases dose constraints were respected in 25/31 and 17/31 of cases. CONCLUSION: Point A is a poor surrogate of target dose. Significant differences between point doses and dose volume histogram parameters indicate the need for inverse planning in image-guided brachytherapy of cervical cancer.


Subject(s)
Brachytherapy , Radiotherapy Planning, Computer-Assisted/methods , Uterine Cervical Neoplasms/radiotherapy , Algorithms , Dose Fractionation, Radiation , Female , Humans , Imaging, Three-Dimensional , Linear Models , Prospective Studies , Radiation Dosage , Tomography, X-Ray Computed , Uterine Cervical Neoplasms/diagnostic imaging
18.
Biomaterials ; 32(17): 4118-29, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21429574

ABSTRACT

There is an urgent need for novel polymeric carriers that can selectively deliver a large dose of chemotherapeutic agents into hepatic cancer cells to achieve high therapeutic activity with minimal systemic side effects. PAMAM dendrimers are characterized by a unique branching architecture and a large number of chemical surface groups suitable for coupling of chemotherapeutic agents. In this article, we report the coupling of N-acetylgalactosamine (NAcGal) to generation 5 (G5) of poly(amidoamine) (PAMAM-NH2) dendrimers via peptide and thiourea linkages to prepare NAcGal-targeted carriers used for targeted delivery of chemotherapeutic agents into hepatic cancer cells. We describe the uptake of NAcGal-targeted and non-targeted G5 dendrimers into hepatic cancer cells (HepG2) as a function of G5 concentration and incubation time. We examine the contribution of the asialoglycoprotein receptor (ASGPR) to the internalization of NAcGal-targeted dendrimers into hepatic cancer cells through a competitive inhibition assay. Our results show that uptake of NAcGal-targeted G5 dendrimers into hepatic cancer cells occurs via ASGPR-mediated endocytosis. Internalization of these targeted carriers increased with the increase in G5 concentration and incubation time following Michaelis-Menten kinetics characteristic of receptor-mediated endocytosis. These results collectively indicate that G5-NAcGal conjugates function as targeted carriers for selective delivery of chemotherapeutic agents into hepatic cancer cells.


Subject(s)
Acetylgalactosamine/pharmacokinetics , Antineoplastic Agents/pharmacology , Dendrimers/chemical synthesis , Dendrimers/pharmacokinetics , Drug Carriers/chemical synthesis , Polyamines/pharmacology , Biological Transport , Drug Delivery Systems/methods , Endocytosis , Hep G2 Cells , Humans , Polyamines/chemistry , Polymers
19.
Mol Pharm ; 7(6): 2006-19, 2010 Dec 06.
Article in English | MEDLINE | ID: mdl-20957996

ABSTRACT

Effective treatment of solid tumors requires homogeneous distribution of anticancer drugs within the entire tumor volume to deliver lethal concentrations to resistant cancer cells and tumor-initiating cancer stem cells. However, penetration of small molecular weight chemotherapeutic agents and drug-loaded polymeric and lipid particles into the hypoxic and necrotic regions of solid tumors remains a significant challenge. This article reports the results of pulsed ultrasound enhanced penetration of nanosized fluorescent particles into MCF-7 breast cancer spheroids (300-350 µm diameter) as a function of particle size and charge. With pulsed ultrasound application in the presence of microbubbles, small (20 nm) particles achieve 6-20-fold higher penetration and concentration in the spheroid's core compared to those not exposed to ultrasound. Increase in particle size to 40 and 100 nm results in their effective penetration into the spheroid's core to 9- and 3-fold, respectively. In addition, anionic carboxylate particles achieved higher penetration (2.3-, 3.7-, and 4.7-fold) into the core of MCF-7 breast cancer spheroids compared to neutral (2.2-, 1.9-, and 2.4-fold) and cationic particles (1.5-, 1.4-, and 1.9-fold) upon US exposure for 30, 60, and 90 s under the same experimental conditions. These results demonstrate the feasibility of utilizing pulsed ultrasound to increase the penetration of nanosized particles into MCF-7 spheroids mimicking tumor tissue. The effects of particle properties on the penetration enhancement were also illustrated.


Subject(s)
Breast Neoplasms/chemistry , Drug Delivery Systems , Microbubbles , Nanoparticles/chemistry , Spheroids, Cellular/chemistry , Ultrasonic Therapy , Breast Neoplasms/metabolism , Breast Neoplasms/pathology , Female , Fluorescence , Humans , Models, Biological , Particle Size , Spheroids, Cellular/metabolism , Spheroids, Cellular/pathology , Surface Properties , Tumor Cells, Cultured
20.
Ultrasound Med Biol ; 36(7): 1176-87, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20620704

ABSTRACT

Localized delivery of therapeutic agents through the blood-brain barrier (BBB) is a clinically significant task that remains challenging. Ultrasound (US) application after intravenous administration of microbubbles has been shown to generate localized BBB opening in animal models but the detailed mechanisms are not yet fully described. The current study investigates the effects of US-stimulated microbubbles on in vitro murine brain microvascular endothelial (bEnd.3) cells by monitoring sonoporation and changes in intracellular calcium concentration ([Ca(2+)](i)) using real-time fluorescence and high-speed brightfield microscopy. Cells seeded in microchannels were exposed to a single US pulse (1.25 MHz, 10 cycles, 0.24 MPa peak negative pressure) in the presence of Definity microbubbles and extracellular calcium concentration [Ca(2+)](o) = 0.9 mM. Disruption of the cell membrane was assessed using propidium iodide (PI) and change in the [Ca(2+)](i) was measured using fura-2. Cells adjacent to a microbubble exhibited immediate [Ca(2+)](i) changes after US pulse with and without PI uptake and the [Ca(2+)](i) changes were twice as large in cells with PI uptake. Cell viability assays showed that sonoporated cells could survive with modulation of [Ca(2+)](i) and uptake of PI. Cells located near sonoporated cells were observed to exhibit changes in [Ca(2+)](i) that were delayed from the time of US application and without PI uptake. These results demonstrate that US-stimulated microbubbles not only directly cause changes in [Ca(2+)](i) in brain endothelial cells in addition to sonoporation but also generate [Ca(2+)](i) transients in cells not directly interacting with microbubbles, thereby affecting cells in larger regions beyond the cells in contact with microbubbles.


Subject(s)
Calcium/metabolism , Cerebrovascular Circulation/physiology , Endothelial Cells/physiology , Microcirculation/physiology , Signal Transduction/physiology , Sonication , Animals , Cell Line , Cerebrovascular Circulation/radiation effects , Endothelial Cells/radiation effects , Mice , Microcirculation/radiation effects , Radiation Dosage , Signal Transduction/drug effects
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