Right inferior phrenic artery to right pulmonary artery fistula causing hemothorax: A case report.

Inferior phrenic artery to pulmonary artery fistulae are a rare anomaly seen on CT thorax angiogram when evaluating for certain pulmonary pathological conditions. A 79-year-old man with hemothorax on chest X-ray was evaluated by interventional radiology for embolization of a bleeding vessel. During the procedure, a fistulous connection between the right inferior phrenic artery and right pulmonary artery with signs of extravasation was found and embolized, significantly reducing the size of the hemothorax. This case demonstrates that inferior phrenic artery to pulmonary artery fistulae, a rarely seen vascular anomaly, can result in life-threatening hemothorax.

Dirty Mass sign of abdominal imaging: A case of silent pneumoperitoneum.

Pneumoperitoneum is a common complication after penetrating abdominal trauma, gastric ulcer, or colitis in which free air is present in the peritoneal or retroperitoneal space. Sole pneumoretroperitoneum, which refers to gas in the retroperitoneal space, is a rare entity, and when significant, results in a characteristic radiographic sign known as "Dirty Mass." Common causes include penetrating trauma or perforation of the retroperitoneal portions of the gastrointestinal tract (duodenum, ascending colon, descending colon, and rectum). Our case describes a 59-year-old female admitted for sudden onset RLQ abdominal pain with Dirty Mass sign on abdominal KUB. Early recognition of these key radiographic findings accelerates management and reduces the risk of developing complications.

Tunable degradation of low-fouling carboxybetaine-hyaluronic acid hydrogels for applications in cell encapsulation.

Low-fouling hydrogels with tunable degradation rates and biochemical environments have the potential to improve adoptive cell therapies for cancer immunotherapy and regenerative medicine. To this end, we developed in situ gelling hydrogels from low-fouling poly(carboxybetaine-co-maleimide) (pCBM) random copolymers and thiolated hyaluronic acid (HA-SH). pCBM-HA hydrogel enzymatic degradation rates were tuned 5 fold by altering pCBM composition (4, 11, and 16 maleimide mol%) and 2.3 fold by HA-SH concentration (1-2 wt%). pCBM-HA gels were low-fouling towards bovine serum albumin (BSA; adsorbed ∼20 µg cm-2) and resisted fibroblast adhesion. To control pCBM-HA bioactivity, the cell adhesive peptide CGRGDS was immobilized on pCBM to promote fibroblast adhesion (39% decrease in circularity), which increased metabolic activity by ∼50%. pCBM-HA modified with CGRGDS enhanced the metabolic activity of encapsulated T cells by ∼21% compared to gels without HA, indicating their potential for immunotherapies. Low-fouling pCBM-HA hydrogels provide a vehicle with tunable degradation rates and biochemical environments for encapsulation applications in cell adoptive therapies.

Improved Efficacy of Antibody Cancer Immunotherapeutics through Local and Sustained Delivery.

Antibodies are a growing class of cancer immunotherapeutics that facilitate immune-cell-mediated killing of tumors. However, the efficacy and safety of immunotherapeutics are limited by transport barriers and poor tumor uptake, which lead to high systemic concentrations and potentially fatal side effects. To increase tumor antibody immunotherapeutic concentrations while decreasing systemic concentrations, local delivery vehicles for sustained antibody release are being developed. The focus of this review is to define the material properties required for implantable controlled antibody delivery and highlight the controlled-release strategies that are applicable to antibody immunotherapeutics.

Enhanced Lithium Ion Transport in Poly(ethylene glycol) Diacrylate-Supported Solvate Ionogel Electrolytes via Chemically Cross-linked Ethylene Oxide Pathways.

Lithium-ion solvate ionic liquids (SILs), consisting of complexed Li+ cations and a weakly basic anion, represent an emergent class of nonvolatile liquid electrolytes suitable for lithium-based electrochemical energy storage. In this report, solid-state, flexible solvate ionogel electrolytes are synthesized via UV-initiated free radical polymerization/cross-linking of poly(ethylene glycol) diacrylate (PEGDA) in situ within the [Li(G4)][TFSI] electrolyte, which is formed by an equimolar mixture of lithium bis(trifluoromethylsulfonyl)imide (LiTFSI) and tetraglyme (G4). Ion diffusivity measurements reveal enhanced Li+ diffusion in PEGDA-supported solvate ionogels, as compared to poly(methyl methacrylate)-supported gels that lack ethylene oxide chains. At 21 vol% PEGDA, a maximum Li+ transport number of 0.58 and a room temperature ionic conductivity of 0.43 mS/cm have been achieved in a solvate ionogel electrolyte that exhibits an elastic modulus of 0.47 MPa. These results demonstrate the importance of polymer scaffold selection on solvate ionogel electrolyte performance for advanced lithium-based batteries.

Deciphering Physical versus Chemical Contributions to the Ionic Conductivity of Functionalized Poly(methacrylate)-Based Ionogel Electrolytes.

Polymer-supported ionic liquids (ionogels) are emergent, nonvolatile electrolytes for electrochemical energy storage applications. Here, chemical and physical interactions between the ionic liquid 1-ethyl-3-methylimidazolium bis(trifluoromethylsulfonyl)imide (EMI TFSI) and three different cross-linked polymer scaffolds with varying chemical functional groups have been investigated in ionogels fabricated via in situ UV-initiated radical polymerization of methyl methacrylate (MMA), 2,2,2-trifluoroethyl methacrylate (TFEMA), or 2-(dimethylamino)ethyl methacrylate (DMAEMA) and a small amount of the cross-linker pentaerythritol tetraacrylate. Experimental findings demonstrate that the chemical functionality of the polymer side groups can significantly affect the degree of ion dissociation within the ionic liquid component of the ionogel and that the fraction of dissociated ions is the dominant factor in determining relative ionic conductivity in these materials, rather than any large differences in ion diffusivity. The MMA-based polymer scaffold exhibits a stronger attractive interaction with EMI TFSI (as evidenced by a higher activation energy of ionic conductivity) compared to the TFEMA- and DMAEMA-based scaffolds, resulting in consistently lower ionic conductivity values for MMA-based ionogels. These results may offer guidance toward the rational selection of future polymer-ionic liquid pairings in order to maximize the fraction of dissociated ions, thereby yielding highly conductive ionogel electrolytes.

Spontaneous Escherichia coli cellulitis in a child with nephrotic syndrome.

Spontaneous bacterial peritonitis is the most common infectious complication of childhood nephrotic syndrome, and Streptococcus pneumoniae is the preponderant bacterial pathogen. Spontaneous bacterial cellulitis, especially of the lower extremities, is another common infection encountered in the same patient group given that chronic edema acts as a potential culture medium. Gram-positive bacteria, including streptococci and staphylococci, are the most common causes of bacterial cellulitis. We report a case of spontaneous Escherichia coli cellulitis in a patient with steroid-dependent nephrotic syndrome.

Internal laryngopyocele presenting as acute airway obstruction.

A laryngopyocele forms when a laryngocele becomes infected and fills with mucopus. We report a case of an internal larngopyocele that presented as airway obstruction in a 34-year-old man; such a presenting sign is exceedingly rare. We also review the anatomy, etiology, and clinical course of the different types of laryngoceles.