Breast cancer has surpassed lung cancer as the most prevalent malignancy affecting women worldwide. Triple-negative breast cancer (TNBC) is the type of breast cancer with the worst prognosis. As a heterogeneous disease, TNBC has a pathogenesis that involves multiple oncogenic pathways, including involvement of gene mutations and alterations in signaling pathways. MicroRNAs (miRNAs) are small endogenous, single-stranded non-coding RNAs that bind to the 3\' untranslated region of target cell mRNAs to negatively regulate the gene expression of these specific mRNAs. Therefore, miRNAs are involved in cell growth, development, division and differentiation stages. miRNAs are also involved in gene targeting in tumorigenesis, tumor growth and the regulation of metastasis, including in breast cancer. Meanwhile, miRNAs also regulate components of signaling pathways. In this review, the role of miRNAs in the TNBC signaling pathway discovered in recent years is described in detail. The new concept of bi-targeted therapy for breast cancer using miRNA and artificial intelligence is also discussed.

The relevance of the problems of diagnosis and treatment of skin cancer is currently determined not only by the high incidence rate, but by the existing difficulties in differential diagnosis and treatment with traditional methods. For localizations of basal cell skin cancer (BCSC) that are \"inconvenient\" for treatment, such as the external auditory canal, auricle, and wing of the nose, treatment is associated with certain difficulties and the possible appearance of a cosmetic defect, therefore, when choosing a treatment method, the anatomical features of these organs are taken into account. It has been determined that the effectiveness of treatment for primary BCSC of the nose and auricles is higher than recurrent one, and among the various treatment methods, the most effective and radical is the surgical method. The immediate results of treatment of BCSC in the form of PR by surgical method were 86.7%, which is statistically significant compared with other types of treatment (p < 0.05). Long-term treatment results with the surgical method are also higher (77%) compared to other methods, which is also statistically significant (p < 0.05).

BACKGROUND: Extramammary Paget\'s disease of the scrotum and penis is a relatively rare cutaneous malignant tumor. At present, its pathogenesis, and clinical and pathological characteristics are not very clear. This is controversial regarding surgical margin width to decrease the high recurrence rate. This paper aimed to report the case and review the literature of extramammary Paget\'s disease of scrotum and penis.
METHODS: We presented the case of a 74-year-old male patient with the patchy erythema and pruritus in the perineum who was admitted to our department. Biopsy of the large plaque revealed Paget disease. Under the condition of ensuring negative surgical margins by rapid frozen pathology, a wide local excision of the lesion, bilateral orchiectomy, and adnexectomy were performed on the patient. Pathology revealed that many scattered vacuolated Paget cells were observed in the epidermal layer, and the diagnosis was Paget\'s disease of the scrotum and penis. The 2 cm outside the skin lesion was used as the initial surgical margin, and free skin flap transplantation was used to repair the surgical wound. The patient recovered well and was discharged 1 week after surgery.
CONCLUSIONS: Currently, histopathologic biopsy is the most important diagnostic method for EMPD. Once confirmed, for patients eligible for surgical intervention, wide local excision of the lesion and rapid intraoperative frozen pathological examination should be performed as soon as possible. The skin flap transplantation is the first choice for the repair of large-scale wound after surgery.

Natural uranium is a crucial resource for clean nuclear energy, which has brought significant economic and social benefits to humanity. However, the development and utilization of uranium resources have also resulted in the accumulation of vast amounts of uranium mill tailings (UMTs), which pose a potential threat to human health and the ecological environment. This paper reviews the research progress on UMTs treatment technologies, including cover disposal, solidification disposal, backfilling disposal, and bioremediation methods. It is found that cover disposal is a versatile method for the long-term management of UMTs, the engineering performance and durability of the cover system can be improved by choosing suitable stabilizers for the cover layer. Solidification disposal can convert UMTs into solid waste for permanent disposal, but it produces a large amount of waste and requires high operating costs; it is necessary to explore the effectiveness and efficiency of solidification disposal for UMTs, while minimizing the bad environmental impact. Backfilling disposal realizes the resource utilization of solid waste, but the high radon exhalation rate caused by the UMTs backfilling also needs to be considered. Bioremediation methods have low investment costs and are less likely to cause secondary pollution, but the remediation efficiency is low, it can be combined with other treatment technologies to remedy the defects of a single remediation method. The article concludes with key issues and corresponding suggestions for the current UMTs treatment methods, which can provide theoretical guidance and reference for further development and application of radioactive pollution treatment of UMTs.

Non-steroidal anti-inflammatory drugs (NSAIDs) are among the most frequently used pharmaceuticals for human therapy, pet therapeutics, and veterinary feeds, enabling them to enter into water sources such as wastewater, soil and sediment, and seawater. The control of NSAIDs has led to the advent of the novel materials for treatment techniques. Herein, we review the occurrence, impact and toxicity of NSAIDs against aquatic microorganisms, plants and humans. Typical NSAIDs, e.g., ibuprofen, ketoprofen, diclofenac, naproxen and aspirin were detected at high concentrations in wastewater up to 2,747,000 ng L-1. NSAIDs in water could cause genotoxicity, endocrine disruption, locomotive disorders, body deformations, organs damage, and photosynthetic corruption. Considering treatment methods, among adsorbents for removal of NSAIDs from water, metal-organic frameworks (10.7-638 mg g-1) and advanced porous carbons (7.4-400 mg g-1) were the most robust. Therefore, these carbon-based adsorbents showed promise in efficiency for the treatment of NSAIDs.

UNASSIGNED: More information is needed regarding return to preinjury sport levels and patient-reported outcomes after tibial spine avulsion (TSA) fracture, which is most common in children aged 8 to 12 years.
UNASSIGNED: To analyze return to play/sport (RTP), subjective knee-specific recovery, and quality of life in patients after TSA fracture treated with open reduction with osteosuturing versus arthroscopic reduction with internal screw fixation.
UNASSIGNED: Cohort study; Level of evidence, 3.
UNASSIGNED: This study included 61 patients <16 years old with TSA fracture treated via open reduction with osteosuturing (n = 32) or arthroscopic reduction with screw fixation (n = 29) at 4 institutions between 2000 and 2018; all patients had at least 24 months of follow-up (mean ± SD, 87.0 ± 47.1 months; range, 24-189 months). The patients completed questionnaires regarding ability to return to preinjury-level sports, subjective knee-specific recovery, and health-related quality of life, and results were compared between treatment groups. Univariate and multivariate logistic regression analyses were conducted to determine variables associated with failure to return to preinjury level of sport.
UNASSIGNED: The mean patient age was 11 years, with a slight male predominance (57%). Open reduction with osteosuturing was associated with a quicker RTP time than arthroscopy with screw implantation (median, 8.0 vs 21.0 weeks; P < .001). Open reduction with osteosuturing was also associated with a lower risk of failure to RTP at preinjury level (adjusted odds ratio, 6.4; 95% CI, 1.1-36.0; P = .035). Postoperative displacement >3 mm increased the risk of failure to RTP at preinjury level regardless of treatment group (adjusted odds ratio, 15.2; 95% CI, 1.2-194.9; P = .037). There was no difference in knee-specific recovery or quality of life between the treatment groups.
UNASSIGNED: Open surgery with osteosuturing was a more viable option for treating TSA fractures because it resulted in a quicker RTP time and a lower rate of failure to RTP as compared with arthroscopic screw fixation. Precise reduction contributed to improved RTP.

Different property enhancement techniques have already been established to support upcycling of construction and demolition waste as aggregate in concrete. However, the most suitable and sustainable method is still unknown. Quality improvement of recycled coarse aggregate (RCA) after any treatment method and its environmental impact is estimated using life cycle analysis (LCA). This article compares the environmental impacts of such treatment methods on RCA and aims to find out the most suitable method with minimum impacts. The functional unit of this study is considered the preparation of 1 tonne of treated aggregate (recycled), considering reduction in water absorption after the treatment. An LCA is carried out using the SimaPro software (https://simapro.com/) followed by ISO 14040/44 guidelines. Based on the LCA environmental profiles, thermal treatment is the highest emission contributing removal method followed by mechanical grinding. In strengthening of attached mortar methods, accelerated carbonation process is the major emission contributing method followed by a specific microbial treatment. Moreover, a sensitivity analysis was performed by varying the energy mix with a focus on renewable-based energy mix. The sensitivity analysis shows a shift on selection for the suitable treatment method and other possibilities considering renewable-based energy mix. A preliminary assessment and probable impact prediction could be conceptualized before the adoption of any treatment method on RCA for a particular location.

The advent of acute respiratory coronavirus disease (COVID-19) is convoyed by the shedding of the virus in stool. Although inhalation from person-to-person and aerosol/droplet transmission are the main modes of SARS-Coronavirus-2 (SARS-CoV-2) transmission, currently available evidence indicates the presence of viral RNA in the sewerage wastewater, which highlights the need for more effective corona virus treatment options. In the existing COVID-19 pandemic, a substantial percentage of cases shed SARS-CoV-2 viral RNA in their faeces. Hence the treating this sewerage wastewater with proper surveillance is essential to contain this deadly pathogen from further transmission. Since, the viral disinfectants will not be very effective on sewerage waste as organic matter, and suspended solids in water can protect viruses that adsorb to these particles. More effective methods and measures are needed to prevent this virus from spreading. This review will explore some potential methods to treat the SARS-CoV-2 infected sewerage wastewater, current research and future directions.

This study aims to develop a new refreshing feeling, ecological, and antimicrobial fabrics for medicinal applications. The geranium essential oils (GEO) are incorporated into polyester and cotton fabrics by different methods, such as ultrasound, diffusion, and padding. The effect of solvent, nature of fibers, and treatment processes were evaluated via the thermal properties, the color strength, the odor intensity, the wash fastness, and the antibacterial activities of the fabrics. It was found that the ultrasound method was the most efficient process for incorporation of GEO. Ultrasound produced a great effect on the color strength of the treated fabrics, suggesting the absorption of geranium oil in fiber surface. The color strength (K/S) increased from 0.22 for the original fabric to 0.91 for the modified counterpart. In addition, the treated fibers showed appreciable antibacterial capacity against Gram-positive (Staphylococcus epidermidis) and Gram-negative (Escherichia coli) bacteria strains. Moreover, the ultrasound process can effectively guarantee the stability of geranium oil in fabrics without decreasing the significant odor intensity and antibacterial character. Based on the interesting properties like ecofriendliness, reusability, antibacterial, and a refreshing feeling, it was suggested that textile impregnated with geranium essential oil might be used as a potential material in cosmetic applications.

Polycystic ovary syndrome (PCOS) is a common endocrinopathy that is highly prevalent in women of Indian ethnicity. Clinical practice guidelines do not adequately consider ethnic-cultural differences in the diagnosing and care of women with PCOS. This study aimed to understand co-morbidities, key concerns, quality of life (QoL), and diagnosis experiences of ethnic Indian women living with PCOS.
Global online survey of ethnic Indian women of reproductive age living with PCOS.
Respondents (n = 4409) had a mean age of 26.8 (SD 5.5) years and reported having a family history of type 2 diabetes (43%) and PCOS (18%). Most of them (64%) were diagnosed with one or more co-morbidities (anxiety/depression being the most common). Irregular periods, cysts on the ovaries, and excess unwanted facial hair growth were their three top concerns. On average, women experienced symptoms of PCOS at the age of 19.0 (SD 5.0) and were diagnosed at the age of 20.8 years (SD 4.8). We report a one-year delay in seeking medical help and a seven-month diagnostic delay, which were associated with poor satisfaction with the information provided related to PCOS and its treatment options (p < 0.01). Women living outside India reported difficulty losing weight as their most key concern; however, they had higher dissatisfaction with the information provided on diet (OR, 0.74; 95% CI, 0.6 to 0.8; p = 0.002), exercise (OR, 0.74; 95% CI, 0.6 to 0.9; p = 0.002) and behavioural advice (OR, 0.74; 95% CI, 0.6 to 0.9; p = 0.004) than women living in India. Most women reported poor QoL in weight and emotion domains.
Ethnic Indian women experience early onset of PCOS symptoms and delay in seeking professional help. Timely diagnosis, providing cultural-specific education related to lifestyle and weight management, and improving psycho-emotional support are key areas that should be addressed in clinical practice and future research.