Cystic neoplasms of the pancreas are increasingly recognized due to the expanding use and improved sensitivity of cross-sectional abdominal imaging. Major advances in the last decade have led to an improved understanding of the various types of cystic lesions and their biologic behavior. Despite significant improvements in imaging technology and the advent of endoscopic-ultrasound (EUS)-guided fineneedle aspiration, the diagnosis and management of pancreatic cystic lesions remains a significant clinical challenge. The first diagnostic step is to differentiate between pancreatic pseudocyst and cystic neoplasm. If a pseudocyst has been effectively excluded, the cornerstone issue is then to determine the malignant potential of the pancreatic cystic neoplasm. In the majority of cases, the correct diagnosis and successful management is based not on a single test but on incorporating data from various sources including patient history, radiologic studies, endoscopic evaluation, and cyst fluid analysis. This review will focus on describing the various types of cystic neoplasms of the pancreas, their malignant potential, and will provide the clinician with a comprehensive diagnostic approach.
Heating, ventilation, and air conditioning (HVAC) systems are among the most common methods to improve indoor air quality. However, after long-term operation, the HVAC filter can result in a proliferation of bacteria, which may release into the filtered air subsequently. This issue can be addressed by designing antibacterial filters. In this study, we report an iron oxide nanowires-based filter fabricated from commercially available iron mesh through a thermal treatment. At optimal conditions, the filter demonstrated a log inactivation efficiency of > 7 within 10 seconds towards S. epidermidis (Gram-positive), a common bacterial species of indoor bioaerosol. 52 % of bioaerosol cells can be captured by a single filter, which can be further improved to 98.7 % by connecting five filters in-tandem. The capture and inactivation capacity of the reported filter did not degrade over long-term use. The inactivation of bacteria is attributed to the synergic effects of the hydroxyl radicals, electroporation, and Joule heating, which disrupted the cell wall and nucleoid of S. epidermidis, as verified by the model simulations, fluorescence microscopy, electron microscopy, and infrared spectroscopy. The relative humidity plays an important role in the inactivation process. The filter also exhibited a satisfactory inactivation efficiency towards E. coli (Gram-negative). The robust synthesis, low cost, and satisfactory inactivation performance towards both Gram-positive and Gram-negative bacteria make the filter demonstrated here suitable to be assembled into HVAC filters as an antibacterial layer for efficient control of indoor bioaerosols.
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