observed, underlying colon cancers should be considered.BACKGROUND Large (≥3 cm) benign thyroid nodules usually cause clinical symptoms or cosmetic concerns and therefore require treatment. Microwave ablation (MWA) is a potential valid non-surgical treatment alternative, but there is a lack of evidence. Thus, this study is to evaluate the safety and efficacy of MWA in the treatment of large benign thyroid nodules. METHODS A retrospective study was conducted on 42 large benign thyroid nodules in 40 patients treated with MWA. We used the trans-isthmic approach and moving-shot technique to perform the procedure under ultrasound (US) guidance. Patients were followed by clinical and US examinations at 1, 3, 6, and 12 months after the MWA. Study outcomes were complications, volume reduction ratio (VRR), symptom and cosmetic scores, and the requirement of multiple MWA sessions. RESULTS There were 31 females and 9 males, with a median age of 46 years. The medians of largest diameter and volume of the nodules were 40 mm and 22 ml. Four (10%) minor complications were observed. The mean VRR was 75.1, 85.2, and 96.4% after 3, 6, and 12 months. The mean symptom and cosmetic scores dropped from 8.0 and 3.8 (before treatment) to 2.8 and 2.3 (at 12 months), respectively. Thirteen nodules (31%) required two MWA sessions. CONCLUSIONS MWA is safe, effective, and can be a good option to treat large benign thyroid nodules. More studies with large dataset and long follow-up are required to improve its safety and efficacy.PURPOSE To describe ICU stay, selected management aspects, and outcome of Intensive Care Unit (ICU) patients with traumatic brain injury (TBI) in Europe, and to quantify variation across centers. METHODS This is a prospective observational multicenter study conducted across 18 countries in Europe and Israel. Admission characteristics, clinical data, and outcome were described at patient- and center levels. Between-center variation in the total ICU population was quantified with the median odds ratio (MOR), with correction for case-mix and random variation between centers. RESULTS A total of 2138 patients were admitted to the ICU, with median age of 49 years; 36% of which were mild TBI (Glasgow Coma Scale; GCS 13-15). Within, 72 h 636 (30%) were discharged and 128 (6%) died. Early deaths and long-stay patients (> 72 h) had more severe injuries based on the GCS and neuroimaging characteristics, compared with short-stay patients. Long-stay patients received more monitoring and were treated at higher intensity, and experienced worse 6-month outcome compared to short-stay patients. Between-center variations were prominent in the proportion of short-stay patients (MOR = 2.3, p  less then  0.001), use of intracranial pressure (ICP) monitoring (MOR = 2.5, p  less then  0.001) and aggressive treatments (MOR = 2.9, p  less then  0.001); and smaller in 6-month outcome (MOR = 1.2, p = 0.01). CONCLUSIONS Half of contemporary TBI patients at the ICU have mild to moderate head injury. Substantial between-center variations exist in ICU stay and treatment policies, and less so in outcome. It remains unclear whether admission of short-stay patients represents appropriate prudence or inappropriate use of clinical resources.Biochar has limited capacity to adsorb oxytetracycline (OTC). Here we have used bamboo willow biochar (BC) as a carrier to produce nMnO2-loaded biochars (MBC) by a co-precipitation method. Their chemical compositions, morphological features, specific surface area, and surface functional groups were observed or determined. Batch experiments were conducted to assess the effects of reaction time, initial OTC concentrations, pH, salt concentrations, and natural organic matter (NOM) on OTC removal. Kinetics and isotherms indicated that OTC was mainly adsorbed via chemical interactions, and mono- and multi-layer adsorption occurred on the surface. MBC removed 19-25 times more OTC than BC, and the removal was highest at near-neutral pH, not influenced by NaCl (2, 10 mM), slighted reduced by NOM (0-20 mg L-1), and enhanced by NaHCO3 (2, 10 mM). Besides being an adsorbent, MBC acted as an oxidant and degraded 58.5% of OTC at 24 h.Biochar is an important material for remediation of contaminated soils, however, different biochars have variable effects on bioavailability of heavy metals. This experiment revealed that peanut shell biochar (PSB) has highest reduction of 78% concentration of Pb in plant roots. The maize straw biochar (MSB) has significantly decreased Zn and Cd concentration (mg/kg dry weight) in Chinese cabbage than other treatments of biochars. The plants of Chinese cabbage have exhibited an efficient transport capability for Zn and Cd. The biochars have reduced exchangeable form of Cd/Zn, enhanced residual heavy metals, and consequently diminished accumulation of heavy metals in plants. The straw block biochar (SBB), PSB and MSB have efficiently relieved the stresses of heavy metals in plants.The prerogative of animal welfare science includes wild species and ecological studies. Yet, guidance enshrined in legislation is narrowly derived from studies involving laboratory rodents; legitimacy for non-mammalian free-ranging species is thus debatable. The European directive 2010/63/EU illustrates this problem. It includes this key statement "Practices not likely to cause pain, suffering, distress or lasting harm equivalent to, or higher than, that caused by the introduction of a needle…" which determines if the directive shall apply. Protocols involving surgery clearly fall within the scope of the directive procedures are scrutinized, investigators and technicians must be qualified and various agreements are required (e.g. issued by an ethical committee). By contrast, non-invasive procedures, like mark-recapture population studies, merely need a permit from wildlife authorities (at least in most countries). Yet, blood sampling that implies the introduction of a needle-one of the most common practices in animals-could shift any study on the constraining-side of the directive, on the grounds that puncture impacts individuals more severely than capture.  https://www.selleckchem.com/products/FK-506-(Tacrolimus).html  We examined the validity of the needle-threshold using the stress response of free-ranging snakes. Our results based on physiological markers show that blood sampling does not add any stress to that triggered by capture, and thus questions the usefulness of the needle-threshold to gauge welfare in wild animals. The specificities of studying wild species should be considered to redress captivity biased animal welfare policy.