888) based on the combination of serum levels of nine metabolites (acylcarnitine AC(160), ceramide Cer(d181/240), phosphatidylcholines PC(200/00) and PC(O-160/203), lysophosphatidylcholines PC(200/00) and PC(00/200), lysophosphatidylethanolamine PE(P-182/00), and sphingomyelins SM(d182/220) and SM(d182/230)) and CA 19-9. In conclusion, we propose a novel specific panel of serum metabolites that can help in the differential diagnosis of dCCA and PDAC. Further validation of their clinical usefulness in prospective studies is required.Black shale, which usually contains pyrite, is easily oxidized and generates acid discharge. This acidic environment is not favorable for concrete in engineering applications and is likely to affect the durability of engineering structures. This study investigated the effect of acid discharge from the weathering of black shale on the strength of concrete under partially immersed conditions. Black shale concrete immersion tests were conducted at different immersion depths to evaluate the oxidation conduction of black shale. Water chemistry and oxidation products were monitored during and after the immersion tests. The quality and strength of the black shale and concrete specimens were obtained before and after the immersion by testing the ultrasonic wave velocity and uniaxial compressive strength. The results indicated that a lower immersion depth of black shale reveals a higher degree of oxidation, and the capillary zone in black shale is critical for black shale oxidation in terms of mass transfer. The ultrasonic velocity of the concrete showed different change patterns in the immersed and non-immersed zones. Precipitation and additional hydration enhanced the quality and entirety of the concrete (increased ultrasonic velocity) at the non-immersed or partially-immersed zones, while the dissolution of concrete was dominant in the immersed zone (decreased ultrasonic velocity) and induced a reduction of concrete quality. The compressive strength of the concrete was enhanced after immersion. The concrete strength slightly increased by 5-15%. This phenomenon is attributed to the filling of the voids by the precipitations of minerals, such as goethite and anhydrite.Arginine vasopressin (Avp) is a conserved pleiotropic hormone that is known to regulate both water reabsorption and ion balance; however, many of the mechanisms underlying its effects remain unclear. Here, we used zebrafish embryos to investigate how Avp modulates ion and acid-base homeostasis. After incubating embryos in double-deionized water for 24 h, avp mRNA expression levels were significantly upregulated. Knockdown of Avp protein expression by an antisense morpholino oligonucleotide (MO) reduced the expression of ionocyte-related genes and downregulated whole-body Cl- content and H+ secretion, while Na+ and Ca2+ levels were not affected. Incubation of Avp antagonist SR49059 also downregulated the mRNA expression of sodium chloride cotransporter 2b (ncc2b), which is a transporter responsible for Cl- uptake. Correspondingly, avp morphants showed lower NCC and H+-ATPase rich (HR) cell numbers, but Na+/K+-ATPase rich (NaR) cell numbers remained unchanged. avp MO also downregulated the numbers of foxi3a- and p63-expressing cells. Finally, the mRNA expression levels of calcitonin gene-related peptide (cgrp) and its receptor, calcitonin receptor-like 1 (crlr1), were downregulated in avp morphants, suggesting that Avp might affect Cgrp and Crlr1 for modulating Cl- balance. Together, our results reveal a molecular/cellular pathway through which Avp regulates ion and acid-base balance, providing new insights into its function.The main aim of this work was to investigate the suitability of a KI/KIO3 impregnated hydroxyapatite (HAP) catalyst derived from natural phosphate rocks for biodiesel production. This study evaluated the effect of impregnation concentrations (1-6% w/w) on the catalyst performance in biodiesel production. The biodiesel was produced from waste cooking oil (WCO) under simultaneous esterification-transesterification reactions at 60 °C for 6 h. The results showed that the biodiesel yield increased by increasing impregnation concentration and the maximum yield (91.787%) was achieved at an impregnation concentration of 5% w/w. The KI/HAP catalyst showed better performance (91.78% biodiesel yield, 59.1% FAME yield and surface area of 13.513 m2/g) as compared to the KIO3/HAP catalyst (90.07% biodiesel yield, 55.0% FAME yield and surface area of 10.651 m2/g).Fan-out wafer-level packaging (FOWLP) is an interesting platform for Microelectromechanical systems (MEMS) sensor packaging. Employing FOWLP for MEMS sensor packaging has some unique challenges, while some originate merely from the fabrication of redistribution layers (RDL). For instance, it is crucial to protect the delicate structures and fragile membranes during RDL formation. Thus, additive manufacturing (AM) for RDL formation seems to be an auspicious approach, as those challenges are conquered by principle. In this study, by exploiting the benefits of AM, RDLs for fan-out packaging of capacitive micromachined ultrasound transducers (CMUT) were realized via drop-on-demand inkjet printing technology. The long-term reliability of the printed tracks was assessed via temperature cycling tests. The effects of multilayering and implementation of an insulating ramp on the reliability of the conductive tracks were identified. Packaging-induced stresses on CMUT dies were further investigated via laser-Doppler velocimetry (LDV) measurements and the corresponding resonance frequency shift. Conclusively, the bottlenecks of the inkjet-printed RDLs for FOWLP were discussed in detail.Background The worldwide need for palliative care is high, especially in mid- income countries like Ecuador, where the percentage of patients receiving such care is very small due to the scarcity of infrastructure and specialized personnel and to the unequal distribution in the country. The objective of this study is to explore the knowledge, attitudes and expectations related to palliative care of the physicians in Ecuador. Methods A qualitative study based on 28 semi-structured interviews, from March 2014 to November 2016, with physicians working in four cities in Ecuador recruited through the snowball technique. Thematic analysis was developed supported by the ATLAS.ti software.  https://www.selleckchem.com/products/tas4464.html  Results Five core themes were identified (1) training, (2) health policy, (3) professionals' activities, (4) health services and (5) development of palliative care in Ecuador. Conclusions Strategies are needed which intensify the training of medical professional in palliative care, as well as avail the human resources and materials for providing it.