Case of Immune Checkpoint Inhibitor Induced Myasthenia Gravis.

An 85-year-old man was diagnosed with hepatocellular carcinoma (HCC) and was initially treated with transarterial chemoembolization (TACE) and sorafenib. He was then switched to nivolumab and ipilimumab in view of sorafenib intolerance and disease progression. Subsequently, he developed dysphagia and generalized dyspnea culminating in hypercapnic respiratory failure requiring intubation.

Design, synthesis, molecular docking, and molecular dynamic studies of novel quinazoline derivatives as phosphodiesterase 7 inhibitors.

Phosphodiesterase 7 (PDE7) is a high-affinity cyclic AMP (cAMP)-specific PDE that is expressed in immune and proinflammatory cells. In this work, we explore the possibility that selective small molecule inhibitors of this enzyme family could provide a novel approach to alleviate the inflammation that is associated with many inflammatory diseases. A series of novel substituted 4-hydrazinoquinazoline derivatives and fused triazoloquinazolines were designed, synthesized, and evaluated for their PDE7A inhibition activities, in comparison with Theophylline, a non-selective PDE inhibitor, and BRL50481, a selective PDE7A inhibitor.

Plastic particles in urban compost and their grain size distribution.

Gathering information on plastic particles in composts and the processes they undergo is important in terms of potentially limiting their further entry into the environment, for example, in improving the fertilising properties of soils. Microplastics (MPs) were determined in composts produced from urban greenery. They are present in decreasing order: polyethylene terephthalate, polystyrene, polyethylene, and polypropylene.

Environmental impact assessment of the coal yard and ambient pollution.

This study investigates the vertical distribution of pollutants emitted from coal yards using unmanned aerial vehicles (UAVs). Vertical concentration measurements of black carbon (BC) and particulate matter (PM) in a range of 1 m to 100 m above ground level (AGL) in the central coal yard showed clear spatial patterns and gradients of these pollutants. In addition, measurements were taken at specific heights (1 m, 30 m AGL, and 60 m AGL) at seven locations approximately 3 km from the yard.

Emergency front of neck access in the management of acute airway obstruction secondary to postoperative neck haematoma.

Airway compromise is the most significant complication of a postoperative neck haematoma. Here, we report the management of a case of complete airway obstruction secondary to an acute neck haematoma arising after radical neck dissection, partial glossectomy and a free flap reconstruction. The patient deteriorated precipitously and required immediate emergency surgical front of neck access to secure the airway.