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Moreover, circZNF652 and PTEN positively regulated the apoptosis of chondrocytes induced by LPS. PTEN overexpression reversed the inhibitory effects of circZNF652 siRNA silencing on cell apoptosis. Therefore, circZNF652 is overexpressed in OA and positively regulates LPS-induced apoptosis of chondrocytes by upregulating PTEN.My book, published in 2020, reconstructs the history of 'Aṣfūriyyeh, one of the first 'modern' mental hospitals in the Middle East. It uses the rise and fall of this institution as a lens through which to examine the development of modern psychiatric theory and practice in the region as well as the socio-political history of modern Lebanon. 'Aṣfūriyyeh becomes a window into social-policy questions relating to dependency and welfare, definitions of deviance, the relation of mission to empire, state-building processes, and the relation of medical authority to religion. The book also examines the impact of war on health and healthcare infrastructures. Reflecting on the afterlife of this and other institutions, the book calls for a new 'ethics of memory.'

Endovascular treatment is being increasingly used for celiac artery aneurysms (CAAs), but systematic endovascular treatment strategies have not been defined yet. This study intended to investigate the strategies of endovascular management of CAAs according to a single-center experience.

Anatomically, CAAs were classified into two types Type I CAAs located in the main trunk of celiac artery. Type II CAAs located on the branches of the celiac artery. Type I and Type II CAAs can be further divided into two different subtypes according to fusiform (a) or saccular or (b) morphology type Ia, type Ib, type IIa, and type IIb. Patient demographics, clinical manifestations, aneurysm characteristics, endovascular intervention procedures, and perioperative and follow-up outcomes were reviewed and analyzed.

Between August 2012 and August 2020, 18 consecutive patients (12 men; mean age, 56.8 ± 14.5years) with CAAs were identified and treated with endovascular procedures. There were seven patients with type Ia, three patients with type Ib, four patients with type IIa, and four patients with type IIb CAAs. One patient died of hemorrhagic shock due to a ruptured aneurysm. Technical success was achieved in 16 patients (88.9%). AS-703026 order The mean follow-up period was 51.7 ± 19.4months. No hepatic or intestinal ischemia or death developed perioperatively or during the follow-up period. No aneurysmal expansion was detected on CTA surveillance, except for one patient who was diagnosed with an endoleak during the follow-up and received reintervention.

The endovascular strategy based on the novel classification of CAAs was safe and effective, with a favorable mid-term clinical outcome.

The endovascular strategy based on the novel classification of CAAs was safe and effective, with a favorable mid-term clinical outcome.To investigate the experience of psychiatrists who completed assessment procedures of euthanasia requests from adults with psychiatric conditions (APC) over the last 12 months. Between November 2018 and April 2019 a cross-sectional survey was sent to a sample of 753 psychiatrists affiliated with Belgian organisations of psychiatrists to gather detailed information on their latest experience with a completed euthanasia assessment procedure, irrespective of its outcome (i.e. euthanasia being performed or not). Information on 46 unique cases revealed that most APC suffered from comorbid psychiatric and/or somatic disorders, and had received different kinds of treatment for many years prior to their euthanasia request. Existential suffering was the main reason for the request. The entire procedure spanned an average of 14 months, and an average of 13.5 months in the 23 cases that culminated in the performance of euthanasia. In all cases, the entire procedure entailed multidisciplinary consultations, including wit involving relatives. We formulate various avenues for further research to build on this study's insights and to fill remaining knowledge gaps.This paper proposes, a method for the physical modeling of the perimodiolar electrode, particularly for the process of recovering its preset shape with the guide wire drawn out, based on the composite spring-mass model by employing the virtual-volumetric spring inspired from the traditional spring-mass model. Simulation experiments of modeling and virtual insertion of perimodiolar electrode were carried out. The results indicated that the mean and standard deviation of the difference between the local deformation angles of the simulated and measured sets of mass points, (1, 2, 3), (2, 3, 4), …, (13, 14, 15), were 6.34° and 5.98°, respectively. Additionally, the physical model of the perimodiolar electrode can reflect the overall morphological changes of the real perimodiolar electrode.Age-related cardiac amyloidosis results from deposits of wild-type tranthyretin amyloid (ATTRwt) in cardiac tissue. ATTR may play a role in carpal tunnel syndrome (CTS) and in spinal stenosis (SS), indicating or presaging systemic amyloidosis. We investigated consecutive patients undergoing surgery for SS for ATTR deposition in the resected ligamentum flavum (LF) and concomitant risk of cardiac amyloidosis. Each surgical specimen (LF) was stained with Congo red, and if positive, the amyloid deposits were typed by mass spectrometry. Patients with positive specimens underwent standard of care evaluation with fat pad aspirates, serum and urine protein electrophoresis with immunofixation, free light-chain assay, TTR gene sequencing and technetium 99 m-pyrophosphate-scintigraphy. In 2018-2019, 324 patients underwent surgery for SS and 43 patients (13%) had ATTR in the LF with wild-type TTR gene sequences. Two cases of ATTRwt cardiac amyloidosis were diagnosed and received treatment. In this large series, ATTRwt was identified in 13% of the patients undergoing laminectomy for SS. Patients with amyloid in the ligamentum flavum were older and had a higher prevalence of CTS, suggesting a systemic form of ATTR amyloidosis involving connective tissue. Further prospective study of patients with SS at risk for systemic amyloidosis is warranted.