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Δευτέρα 4 Δεκεμβρίου 2017

Probing the toxicity mechanism of multiwalled carbon nanotubes on bacteria

Abstract

Carbon nanotubes (CNTs) have emerged recently as superior adsorbent materials for the removal of recalcitrant pollutants. The potential of combining the sorption capability of CNTs with bacterial degradation for pollutant removal, however, necessitates further investigation of the mechanisms of CNTs' toxicity towards bacterial cells. In this study, we used a panel of stress-responsive recombinant Escherichia coli bioluminescence bacterial strains to explore the possible mechanisms of toxicity of multiwalled carbon nanotubes (MWCNTs). The effects of MWCNTs on markers of oxidative stress, protein, DNA, and membrane damage enabled the exposition of some of the mechanisms of their antimicrobial properties. Using both a bioluminescence bioreporter panel and live/dead staining, we observed that membrane damage played a role in the toxicity of MWCNTs. A subsequent viability study using three strains of bacteria—two gram-negative (Escherichia coli, Pseudomonas aeruginosa) and one gram-positive (Bacillus subtilis)—showed significant MWCNT toxicity in hypotonic water and phosphate-buffered saline solution, compared with the MWCNT toxicity towards the same bacteria incubated in isotonic-rich media. Using a field-emission scanning electron microscope, we demonstrated that membrane damage is caused largely by MWCNTs trapping bacteria and piercing the cell walls. As a result of our observations, we propose integrating MWCNTs and bacteria degradation for pollutant removal in nutrient-rich media to minimize the toxicity effect of CNTs.



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Does the air condition system in busses spread allergic fungi into driver space?

Abstract

The aim of this study was to establish whether the air-conditioning system in buses constitutes an additional source of indoor air contamination with fungi, and whether or not the fungi concentration depends on the period from the last disinfection of the system, combined with replacement of the cabin dust particle filter. The air samples to fungi analysis using impact method were taken in 30 buses (20 with an air-conditioning system, ACS; 10 with a ventilation system, VS) in two series: 1 and 22 weeks after cabin filter replacement and disinfection of the air-conditioning system. During one test in each bus were taken two samples: before the air-conditioning or ventilation system switched on and 6 min after operating of these systems. The atmospheric air was the external background (EB). After 1 week of use of the system, the fungi concentrations before starting of the ACS and VS system were 527.8 and 1053.0 cfu/m3, respectively, and after 22 weeks the concentrations were 351.9 and 1069.6 cfu/m3, respectively. While in the sample after 6 min of ACS and VS system operating, the fungi concentration after 1 week of use was 127.6 and 233.7 cfu/m3, respectively, and after 22 weeks it was 113.3 and 324.9 cfu/m3, respectively. Results do not provide strong evidence that air-conditioning system is an additional source of indoor air contamination with fungi. A longer operation of the system promoted increase of fungi concentration in air-conditioned buses only.



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Generation of highly potent organic fertilizer from pernicious aquatic weed Salvinia molesta

Abstract

Utilization of Salvinia molesta, an aquatic weed which is notorious for its allelopathy and invasiveness, has been explored by its vermicomposting. Fourier transform infrared spectroscopy (FT-IR) and plant bioassay tests were conducted to analyze the composition and fertilizer value of S .molesta vermicompost. Germination and seedling growth tests were performed in soil supplemented with vermicompost at levels ranging from 0.75 to 40% by weight of the soil on three common food plants, ladies finger (Abelmoschus esculentus), cucumber (Cucumis sativus), and green gram (Vigna radiata). The influence of S. molesta's vermicompost on some of the physicochemical and biological attributes of the soil was also studied. FT-IR analysis revealed that S. molesta loses its allelopathy, as the chemical compounds that are responsible for it are largely destroyed, in the course of its vermicomposting. There is also an indication that a portion of lignin content of S. molesta is degraded. Vermicompost enhanced the germination success and promoted the morphological growth and biochemical content of the plant species studied. It also bestowed plant friendly physicochemical and biological attributes to the soil. The findings raise the prospect that billions of tons of S. molesta biomass―which not only goes to waste at present but is also a cause of serious harm to the environment―may become utilizable in organic agriculture.



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Residue behavior and risk assessment of imidacloprid applied on greenhouse-cultivated strawberries under different application conditions

Abstract

A risk assessment for imidacloprid applied on strawberries under different conditions was performed after residue determination using the quick, cheap, effective, rugged, and safe (QuEChERS) method. The application conditions were varied according to the applied dosage, addition of a plant oil or organosilicon surfactant, water volume, and sprayer type. The degradation dynamics of imidacloprid on strawberries followed first-order kinetics. At applied doses of 30–60 g a.i. ha−1, the half-lives of imidacloprid were 2.89–3.46, 1.98–3.65, and 2.57–2.77 days after application without a surfactant or with a plant oil or organosilicon surfactant, respectively. For water volumes of 112.5, 225, 450, 675, and 900 L ha−1, the half-lives of imidacloprid applied in the presence of the plant oil surfactant were 3.30, 7.70, 5.33, 7.70, and 6.30 days, respectively. The half-lives after application with a knapsack mist duster, electric sprayer, and manual sprayer were 2.16, 5.77, and 7.70 days, respectively. The health risk assessment revealed risk quotients less than 1 in all cases, indicating that the application of imidacloprid poses a low health risk to humans after a pre-harvest interval of 10 days under our application conditions. The risk assessment results can provide reference data for setting a reasonable maximum residue limit for imidacloprid on strawberries in China.



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Cumulative impacts from multiple human activities on seagrass meadows in eastern Mediterranean waters: the case of Saronikos Gulf (Aegean Sea, Greece)

Abstract

Ecosystem-based management (EBM) addresses the fundamental need to account for cumulative impacts of human activities with the aim of sustainably delivering ecosystem services. The Saronikos Gulf, a large embayment of the Aegean Sea, provides a wide range of ecosystem services that are impacted by multiple human activities, deriving from the metropolitan area of Athens (situated at the northeast part of the Gulf). The anthropogenic impacts affect the status of several marine ecosystem components, e.g., seagrass meadows. Cymodocea nodosa meadows are only present at the most confined western part of the Gulf, whereas Posidonia oceanica meadows are mainly distributed in the inner and outer part of the Gulf. The aim of this study is to assess the cumulative impacts from multiple human activities on the seagrass meadows in the Gulf. The main results indicated that most impacted meadows are P. oceanica in the inner part of the Gulf, adjacent to the most urbanized coastal areas, and near port infrastructures. Land-based pollution, as well as physical damage and loss seem to be the main pressures exerted on the meadows. Understanding cumulative impacts is crucial for informing policy decisions under an EBM approach.



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Occurrence, distribution and composition of aliphatic and polycyclic aromatic hydrocarbons in sediment cores from the Lower Fox River, Wisconsin, US

Abstract

The Lower Fox River is a 39 mile section which supports approximately 270,000 rural inhabitants across 18 counties, 303,000 metropolitan residents in Green Bay and Appleton, Wisconsin, and several large industrial complexes such as paper mills and power plants. This paper presents the distribution and concentrations of aliphatic (n-alkanes) and aromatic hydrocarbons (polycyclic aromatic hydrocarbons [PAHs]) as well as total organic carbon (TOC) in the Lower Fox River to identify the sources of hydrocarbon contamination. Excluding one outlier, percent TOC values were between 0.73 and 19.9% with an average value of 6.74%. Total n-alkanes ranged from 3.51 μg/g to 117 μg/g and showed a strong presence of odd carbon-numbered n-alkane ratios (range of C25 to C35), suggesting source input from terrestrial biomass. The mean polycyclic aromatic hydrocarbon (PAH) concentration was 24,800 ng/g. High molecular weight PAH concentrations dominated the distribution of hydrocarbon contaminants. Cross-plots of PAHs were used to compare diagnostic source ratios of benz[a]anthracene (BaA), chrysene (Chr), fluoranthene (Flu), pyrene (Pyr), anthracene (Ant), phenanthrene (Phe), indeno[1,2,3-cd]pyrene (InP), and benzo[g,h,i]perylene (BghiP) by depth and area. PAH ratios varied slightly with the core depth. Deeper core sections indicated the presence of biomass combustion while the upper core sections indicated combustion of both petroleum and biomass. The PAH toxicity of one core was estimated using toxicity equivalency factors, and the benzo[a]pyrene toxic equivalence quotient totaled 2,293 ng/g-dry wt. Levels of PAHs in sediments are compared with established regulatory values and recommendations are made.



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A two-center, assessor-blinded, prospective trial evaluating the efficacy of a novel hypertonic draining cream for cellulite reduction: A Clinical and instrumental (Antera 3D CS) assessment

Summary

Introduction

Gynoid lipodystrophy, also known as cellulite, is a very common skin alteration representing mainly a cosmetic problem rather than a real disease. An effective treatment of cellulite has not been well established. The initial phase of cellulite is characterized by subdermal tissue edema with interstitial fluids retention. A new hypertonic topical product with draining action (HTC) containing NaCl 13%, escine, caffeine, and beta-sitosterol has been recently developed. A 28-day double-blind placebo-controlled study has shown that this cream is able to reduce thigh circumference and the thickness of adipose tissue. No data so far are available regarding an objective evaluation of skin appearance for a longer application period.

Study aim

To evaluate the clinical efficacy of 2-month HCT treatment with clinical and instrumental assessments.

Subjects and methods

In a prospective, 2-center, assessor-blinded trial 20 women (mean age 34 years) with cellulite of Grade I-III in severity were enrolled after their informed consent. HTC was applied once daily for 60 days. Primary outcomes of the trial were the evolution of thigh circumference measurements (assessed at baseline, after 1 and 2 months) and the computer-analysis of skin profilometry (ie, skin volumes) of a prespecified target area evaluated by means of Antera 3D CS digitalized images (assessed at baseline and at the end of the trial). Secondary outcome was the orange peel severity score (from 0 to 5) before and after pitch test.

Results

All subjects concluded the study period. Thigh circumference was reduced by −0.88 (right)/−1.2 cm (left) and by −1.8(right)/−2.1 (left) cm, after 30 and 60 days of treatment, respectively (P = .001, Wilcoxon test vs baseline). Antera 3D profilometry of the target zone showed a significant reduction in skin depression expressed in mm3 of −56% (from 59.7 to 26.73 mm3) after HTC application. Orange peel (no pitch test) mean (SD) score was 2.3 (1) at baseline, 2.0 (1) and 1.8 (0.8) after 1 and 2 months (P = .0031), respectively. After-pitch orange peel score was significantly reduced after treatment (from 3.3 to 2.2).

Conclusion

Once daily application of HTC for 2 months has confirmed its efficacy in the improvement of objective and subjective assessments of cellulite parameters.(Trial Number registration: ISRCTN15111614).



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Immediate effect and safety of HIFU single treatment for male subcutaneous fat reduction

Summary

Background

The increasing search for procedures for fat reduction is related to dissatisfaction with body shape. High-intensity focused ultrasound (HIFU) has been proven effective in body sculpting when used noninvasively to reduce subcutaneous fat and improve body contour.

Aims

This study aimed to evaluate the immediate effect and safety of HIFU single treatment for male localized fat and body remodeling.

Patients/Methods

Twenty-four male subjects (18 to 59 years old) with BMI ≤ 30 kg/cm² and at least 2 cm of abdominal fat received a single HIFU treatment session. Individuals were subjected to abdominal measurements before and after procedure. In addition, biochemical analyses of blood samples were performed to assess possible inflammatory effects or oxidative stress induction by the treatment.

Results

High-intensity focused ultrasound was found to be an effective treatment in reducing localized adiposities in the abdominal region. A significant decrease (0.6%) was observed in infraumbilical circumference of subjects submitted to HIFU single treatment when compared with control subjects. The laboratory parameters did not present any appreciable changes.

Conclusion

This study further strengthens the current view that HIFU is an effective and safe tool for localized fat reduction.



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Learning From Major Clinical Trials: Bending Without Breaking.

Author: Pfeffer, Marc A. MD, PhD
Page: 2207-2209


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Proprotein Convertase Subtilisin/Kexin Type 9 Inhibitor Therapy: Payer Approvals and Rejections, and Patient Characteristics for Successful Prescribing.

Author: Hess, Gregory P. MD, MSc; Natarajan, Pradeep MD, MMSc; Faridi, Kamil F. MD; Fievitz, Anna BS; Valsdottir, Linda MS; Yeh, Robert W. MD, MSc
Page: 2210-2219


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J Curve in Patients Randomly Assigned to Different Systolic Blood Pressure Targets: An Experimental Approach to an Observational Paradigm.

Author: Kalkman, Deborah N. MD; Brouwer, Tom F. MD; Vehmeijer, Jim T. MD; Berger, Wouter R. MD; Knops, Reinoud E. MD, PhD; de Winter, Robbert J. MD, PhD; Peters, Ron J. MD, PhD; van den Born, Bert-Jan H. MD, PhD
Page: 2220-2229


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The Tale of an Innocent: Intensive Treatment and the J-Curve in the SPRINT Trial (Systolic Blood Pressure Intervention Trial).

Author: Verdecchia, Paolo MD; Angeli, Fabio MD; Reboldi, Gianpaolo MD, PhD, MSc
Page: 2230-2232


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Latent Rheumatic Heart Disease: Identifying the Children at Highest Risk of Unfavorable Outcome.

Author: Beaton, Andrea MD; Aliku, Twalib MMed; Dewyer, Alyssa BS; Jacobs, Marni PhD, MPH; Jiang, Jiji MD, MS; Longenecker, Chris T. MD; Lubega, Sulaiman MMed; McCarter, Robert ScD; Mirabel, Mariana MD; Mirembe, Grace MMed; Namuyonga, Judith MMed; Okello, Emmy MMed, PhD; Scheel, Amy BS; Tenywa, Emmanuel MMed; Sable, Craig MD; Lwabi, Peter MMed
Page: 2233-2244


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Echocardiographic Detection of Latent Rheumatic Heart Disease: A Pandora's Box?.

Author: Essop, Mohammed R. MBBCh; Mayosi, Bongani M. MBChB
Page: 2245-2247


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Binding of FUN14 Domain Containing 1 With Inositol 1,4,5-Trisphosphate Receptor in Mitochondria-Associated Endoplasmic Reticulum Membranes Maintains Mitochondrial Dynamics and Function in Hearts in Vivo.

Author: Wu, Shengnan PhD *; Lu, Qiulun PhD *; Wang, Qilong PhD; Ding, Ye PhD; Ma, Zejun MD, PhD; Mao, Xiaoxiang MD; Huang, Kai MD, PhD; Xie, Zhonglin MD, PhD; Zou, Ming-Hui MD, PhD
Page: 2248-2266


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FUNDC1: A Novel Protein in Cardiac Health.

Author: Munoz, Juan Pablo PhD; Zorzano, Antonio PhD
Page: 2267-2270


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Tryptophan-Derived 3-Hydroxyanthranilic Acid Contributes to Angiotensin II-Induced Abdominal Aortic Aneurysm Formation in Mice In Vivo.

Author: Wang, Qiongxin PhD; Ding, Ye PhD; Song, Ping PhD; Zhu, Huaiping PhD; Okon, Imoh PhD; Ding, Yang-Nan BSc; Chen, Hou-Zao PhD; Liu, De-Pei PhD; Zou, Ming-Hui MD, PhD
Page: 2271-2283


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Increased Inflammation in Pericardial Fluid Persists 48 Hours After Cardiac Surgery.

Author: Butts, Brittany PhD, RN; Goeddel, Lee A. MD, MPH; George, David J. BS; Steele, Chad PhD; Davies, James E. MD; Wei, Chih-Chang PhD; Varagic, Jasmina MD, PhD; George, James F. PhD; Ferrario, Carlos M. MD; Melby, Spencer J. MD; Dell'Italia, Louis J. MD
Page: 2284-2286


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Letter by Jin-shan and Xue-bin Regarding Article, "Genotype-Phenotype Correlation of SCN5A Mutation for the Clinical and Electrocardiographic Characteristics of Probands With Brugada Syndrome: A Japanese Multicenter Registry".

Author: Jin-shan, He MD; Xue-bin, Li MD
Page: 2287-2288


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Response by Yamagata et al to Letter Regarding Article, "Genotype-Phenotype Correlation of SCN5A Mutation for the Clinical and Electrocardiographic Characteristics of Probands With Brugada Syndrome: A Japanese Multicenter Registry".

Author: Yamagata, Kenichiro MD, PhD; Aiba, Takeshi MD, PhD; Shimizu, Wataru MD, PhD
Page: 2289-2290


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Letter by Kotsiou and Gourgoulianis Regarding Article, "Pathophysiology of Takotsubo Syndrome".

Author: Kotsiou, Ourania S. MD, PhD; Gourgoulianis, Konstantinos I. Prof. PhD
Page: 2291-2292


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Letter by Stiermaier and Eitel Regarding Article, "Pathophysiology of Takotsubo Syndrome".

Author: Stiermaier, Thomas MD; Eitel, Ingo MD
Page: 2293-2294


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2017 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations Summary.

Author: Olasveengen, Theresa M. MD, PhD, Chair; de Caen, Allan R. MD, FRCP(C); Mancini, Mary E. RN, PhD, NE-BC, FAHA, ANEF; Maconochie, Ian K. PhD; Aickin, Richard BMedSc, MbChB, DCH; Atkins, Dianne L. MD, FAHA; Berg, Robert A. MD, FAHA; Bingham, Robert M. MBBS, FRCA; Brooks, Steven C. MD, MHSc; Castren, Maaret MD, PhD; Chung, Sung Phil MD, PhD; Considine, Julie RN, PhD; Couto, Thomaz Bittencourt MD, MS; Escalante, Raffo MD; Gazmuri, Raul J. MD, PhD; Guerguerian, Anne-Marie MD, PhD; Hatanaka, Tetsuo MD, PhD; Koster, Rudolph W. MD, PhD; Kudenchuk, Peter J. MD, FAHA; Lang, Eddy MDCM, CCFP(EM), CSPQ; Lim, Swee Han MBBS; Lofgren, Bo MD, PhD, FAHA; Meaney, Peter A. MD, MPH; Montgomery, William H. MD, FAHA; Morley, Peter T. MBBS; Morrison, Laurie J. MD, MSc; Nation, Kevin J. NZRN; Ng, Kee-Chong MBBS, MMed (Paeds); Nadkarni, Vinay M. MD, MS, FAHA; Nishiyama, Chika RN, PhD; Nuthall, Gabrielle MBChB, FRACP, FCICM; Ong, Gene Yong-Kwang MBBS, MRCPCH; Perkins, Gavin D. MBChB, MMEd, MD; Reis, Amelia G. MD, PhD; Ristagno, Giuseppe MD, PhD; Sakamoto, Tetsuya MD, PhD; Sayre, Michael R. MD, FAHA; Schexnayder, Stephen M. MD; Sierra, Alfredo F. MD, MAdm; Singletary, Eunice M. MD; Shimizu, Naoki MD, PhD; Smyth, Michael A. MSc; Stanton, David CCA; Tijssen, Janice A. MD; Travers, Andrew MD, MSc, FRCP(C); Vaillancourt, Christian MD, MSc, CSPQ; Van de Voorde, Patrick MD, PhD; Hazinski, Mary Fran RN, MSN, FAHA; Nolan, Jerry P. FRCA, FRCP, FFICM, FRCEM; On behalf of the ILCOR Collaborators
Page: e424-e440


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Muscle fiber conduction velocity and EMG amplitude of the upper trapezius muscle in healthy subjects after low-level laser irradiation: a randomized, double-blind, placebo-controlled, crossover study

Abstract

Although low-level laser therapy (LLLT) is an important resource for the treatment of non-specific neck pain patients, the dose which presents the greatest therapeutic potential for the treatment of this pathology is still unclear. The present study aimed to evaluate the immediate effect of LLLT on the muscle fiber conduction velocity (MFCV) and electromyographic activity (EMG) of the upper trapezius (UT) muscle in healthy individuals. A total of 20 healthy subjects were enrolled in a randomized, double-blind, crossover study. Active LLLT (820 nm wavelength, 30 mW, energy total 18 J) or placebo LLLT (pLLLT) was delivered on the UT muscle. Each subject was subjected to a single session of active LLLT and pLLLT. Surface electromyography (sEMG) signal of the UT muscle was recorded during five different step contractions of shoulder elevation force (10–30% maximal voluntary contraction) pre- and post-LLLT irradiation. The values of MFCV and sEMG global amplitude (RMSG) were used to calculate the effects of LLLT. The results showed no difference in the MFCV comparing the LLLT and pLLLT groups (F = 0.72 p = 0.39, η p2 = 0.004). However, a significant difference was observed in the RMSG between the LLLT and pLLLT (F 1,2 = 16.66; P < 0.0001, η p2 = 0.09). Individuals who received active LLLT presented a significant decrease in RMSG after laser application (F = 61.28; p < 0.0001, η p2 = 0.43). In conclusion, the 820 nm LLLT, with energy total of 18 J, did not alter the MFCV but significantly reduced the sEMG signal amplitude of the upper trapezius muscle in healthy subjects to a level of up to 30% of maximal voluntary contraction.



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Is photobiomodulation (PBM) effective for the treatment of dentin hypersensitivity? A systematic review

Abstract

The present study aims to evaluate the current scientific data regarding the effectiveness of photobiomodulation (PBM) in the treatment of dentin hypersensitivity (DH) as an alternative method for pain control. A systematic review was conducted to assess the effectiveness of PBM as treatment for DH. A complete literature search was performed up to October 2016. Searches were conducted using Boolean operators and MeSH terms. References of all selected full-text articles and related reviews were scanned. A total of 280 articles were identified (241 articles were excluded by the title and abstract). Of the 39 articles selected for analysis, 36 were excluded because they presented one or more exclusion criteria. Therefore, three articles were qualified for inclusion in this systematic review. PBM may not lead to adverse effects provided that adequately controlled parameters are followed when treating DH. More consistent studies should be conducted in order to adequately observe the advantageous therapeutic effect of PBM.



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Spectrum of health condition in methyl isocyanate (MIC)-exposed survivors measured after 30 years of disaster

Abstract

Health effects of methyl isocyanate (MIC) exposure were mostly reported on the one-time acute exposure in Bhopal population. Epidemiological survey conducted by the Indian apex body of health research has been reported as Technical Reports, which were lacking in peer review by the expert epidemiologic scientists. The present pilot survey was aimed to measure the health effects 30 years post disaster in MIC-exposed survivors. Questionnaire-based survey has captured every health complaint in 168 individuals and grouped as systemic functions for interpreting the long-term effects of MIC. Key health parameters, including reproductive outcome and respiratory/orthopedic/general morbidity, were prevalent among the severely exposed population compared to control and moderately exposed groups. The collective incidence of diabetes, hypertension, and cancer also was prevalent in the severely exposed group. Ophthalmic morbidity was almost similar in the three groups, rather with higher incidence in the control group, though not statistically significant. Among all health parameters, reproductive, ophthalmic, and respiratory effects were prevalent over others. Although the incidence of health problems has been declined among the survivors, long-term effect is apparent as scars of one-time acute exposure might trigger sequel of long-term effects. Additionally, acquisition of genetic rearrangements, survival of T cell sub-populations, variable latency of chemical effect on DNA nucleosides, nutritional status, occupational exposure, living environment, lifestyle, and overall gene–environment interaction might perturb individual immunity and favor onset of long-term illness in a scenario of background exposure to MIC. However, the exercise should be continued on a larger sample size for drawing a conclusive result on long-term MIC effect on survivors' health.



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Temporal dynamics of total and free-living nitrogen-fixing bacterial community abundance and structure in soil with and without history of arsenic contamination during a rice growing season

Abstract

Despite the fact that the nitrogen (N) fixers act as the key regulator of ecosystem process, a detailed study of their abundance, diversity, and dynamics in arsenic (As)-contaminated rice fields is missing so far. DNA extracted from soil followed by 16S rRNA and nifH gene-based real-time qPCR, clone library analysis, and DNA sequencing were used to examine the status of the total and diazotrophic communities in two agricultural fields with and without arsenic contamination history during one rice cultivation season. In general, higher nifH and 16S rRNA gene copy numbers were observed in rice growing soils with lesser As than that with higher As. Elevated levels of 16S rRNA and nifH genes in soil is directly associated with total and nitrogen fixers abundance in the agricultural land without As contamination history through the cultivation period, but the copy number of 16S rRNA gene was decreased, and the nifH gene remained unchanged in the As-contaminated land. Additionally, Canonical Correspondence Analysis (CCA) indicated the possible suppression of nifH gene abundance by soil pH, phosphate, and As content. Increased abundance of total and Acidobacterial lineages in low As-containing soil and the detection of several uncultured groups among nifH gene sequence in higher frequency indicated the presence of novel nifH bearing bacterial groups. Conversely, the abundance of copiotrophic Proteobacterial lineages gradually increased in soil with higher As. Herein, our study demonstrated that the dynamics of free-living nitrogen-fixing bacterial communities were perturbed due to As contamination in agricultural land.



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Robert acland (1941-2016) innovator, microsurgeon, anatomist and teacher

The breadth and depth of Robert (Bob) Acland's contribution to Plastic and Reconstructive Surgery merits communication to younger generations. From early days at boarding school Bob took a great interest in acquiring precision skills in metalwork and carpentry which were to prepare him for later innovations in the design and manufacture of prototype microsurgical instruments. He then worked with suppliers and manufacturers to market the microsurgical instrumentation which is in international use today.

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Atrial Fibrillation: The Next Epidemic for Patients With Congenital Heart Disease



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Effects of Sodium Reduction and the DASH Diet in Relation to Baseline Blood Pressure

AbstractBackground

Both sodium reduction and the DASH (Dietary Approaches to Stop Hypertension) diet, a diet rich in fruits, vegetables, and low-fat dairy products, and reduced in saturated fat and cholesterol, lower blood pressure. The separate and combined effects of these dietary interventions by baseline blood pressure (BP) has not been reported.

Objectives

The authors compared the effects of low versus high sodium, DASH versus control, and both (low sodium-DASH vs. high sodium-control diets) on systolic blood pressure (SBP) by baseline BP.

Methods

In the DASH-Sodium (Dietary Patterns, Sodium Intake and Blood Pressure) trial, adults with pre- or stage 1 hypertension and not using antihypertensive medications, were randomized to either DASH or a control diet. On either diet, participants were fed each of 3 sodium levels (50, 100, and 150 mmol/day at 2,100 kcal) in random order over 4 weeks separated by 5-day breaks. Strata of baseline SBP were <130, 130 to 139, 140 to 149, and ≥150 mm Hg.

Results

Of 412 participants, 57% were women, and 57% were black; mean age was 48 years, and mean SBP/diastolic BP was 135/86 mm Hg. In the context of the control diet, reducing sodium (from high to low) was associated with mean SBP differences of –3.20, –8.56, –8.99, and –7.04 mm Hg across the respective baseline SBP strata listed (p for trend = 0.004). In the context of high sodium, consuming the DASH compared with the control diet was associated with mean SBP differences of –4.5, –4.3, –4.7, and –10.6 mm Hg, respectively (p for trend = 0.66). The combined effects of the low sodium-DASH diet versus the high sodium-control diet on SBP were –5.3, –7.5, –9.7, and –20.8 mm Hg, respectively (p for trend <0.001).

Conclusions

The combination of reduced sodium intake and the DASH diet lowered SBP throughout the range of pre- and stage 1 hypertension, with progressively greater reductions at higher levels of baseline SBP. SBP reductions in adults with the highest levels of SBP (≥150 mm Hg) were striking and reinforce the importance of both sodium reduction and the DASH diet in this high-risk group. Further research is needed to determine the effects of these interventions among adults with SBP ≥160 mm Hg. (Dietary Patterns, Sodium Intake and Blood Pressure [DASH-Sodium]; NCT00000608)



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Catheter Ablation of Ventricular Tachycardia in Structural Heart Disease: Indications, Strategies, and Outcomes--Part II

Abstract

In contrast to ventricular tachycardia (VT) that occurs in the setting of a structurally normal heart, VT that occurs in patients with structural heart disease carries an elevated risk for sudden cardiac death (SCD), and implantable cardioverter-defibrillators (ICDs) are the mainstay of therapy. In these individuals, catheter ablation may be used as adjunctive therapy to treat or prevent repetitive ICD therapies when antiarrhythmic drugs are ineffective or not desired. However, certain patients with frequent premature ventricular contractions (PVCs) or VT and tachycardiomyopathy should be considered for ablation before ICD implantation because left ventricular function may improve, consequently decreasing the risk of SCD and obviating the need for an ICD. The goal of this paper is to review the pathophysiology, mechanism, and management of VT in the setting of structural heart disease and discuss the evolving role of catheter ablation in decreasing ventricular arrhythmia recurrence.



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Is a DASH of Salt All We Need?



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JACC Instructions for Authors



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3-Year Clinical Outcomes With Everolimus-Eluting Bioresorbable Coronary Scaffolds: The ABSORB III Trial

AbstractBackground

The Absorb everolimus-eluting poly-L-lactic acid–based bioresorbable vascular scaffold (BVS) provides early drug delivery and mechanical support functions similar to metallic drug-eluting stents (DES), followed by complete bioresorption in approximately 3 years with recovery of vascular structure and function. The ABSORB III trial demonstrated noninferior rates of target lesion failure (cardiac death, target vessel myocardial infarction [TVMI], or ischemia-driven target lesion revascularization) at 1 year in 2,008 patients with coronary artery disease randomized to BVS versus cobalt-chromium everolimus-eluting stents (EES).

Objectives

This study sought to assess clinical outcomes through 3 years following BVS implantation.

Methods

Clinical outcomes from the ABSORB III trial were analyzed by randomized treatment assignment cumulative through 3 years, and between 1 and 3 years.

Results

The primary composite endpoint of target lesion failure through 3 years occurred in 13.4% of BVS patients and 10.4% of EES patients (p = 0.06), and between 1 and 3 years in 7.0% versus 6.0% of patients, respectively (p = 0.39). TVMI through 3 years was increased with BVS (8.6% vs. 5.9%; p = 0.03), as was device thrombosis (2.3% vs. 0.7%; p = 0.01). In BVS-assigned patients, treatment of very small vessels (those with quantitatively determined reference vessel diameter <2.25 mm) was an independent predictor of 3-year TLF and scaffold thrombosis.

Conclusions

In the ABSORB III trial, 3-year adverse event rates were higher with BVS than EES, particularly TVMI and device thrombosis. Longer-term clinical follow-up is required to determine whether bioresorption of the polymeric scaffold will influence patient prognosis. (ABSORB III Randomized Controlled Trial [RCT] [ABSORB-III]; NCT01751906)



http://ift.tt/2zL9Axp

Immunological Serum Protein Profiles for Noninvasive Detection of Acute Cellular Rejection After Heart Transplantation



http://ift.tt/2jODUjR

Effect of Technique on Outcomes Following Bioresorbable Vascular Scaffold Implantation: Analysis From the ABSORB Trials

AbstractBackground

Procedural technique may affect clinical outcomes after bioresorbable vascular scaffold (BVS) implantation. Prior studies suggesting such a relationship have not adjusted for baseline patient and lesion characteristics that may have influenced operator choice of technique and outcomes.

Objectives

This study sought to determine whether target lesion failure (TLF) (cardiac death, target-vessel myocardial infarction, or ischemia-driven target lesion revascularization) and scaffold thrombosis (ScT) rates within 3 years of BVS implantation are affected by operator technique (vessel size selection and pre- and post-dilation parameters).

Methods

TLF and ScT rates were determined in 2,973 patients with 3,149 BVS-treated coronary artery lesions from 5 prospective studies (ABSORB II, ABSORB China, ABSORB Japan, ABSORB III, and ABSORB Extend). Outcomes through 3 years (and between 0 to 1 and 1 to 3 years) were assessed according to pre-specified definitions of optimal technique (pre-dilation, vessel sizing, and post-dilation). Multivariable analysis was used to adjust for differences in up to 18 patient and lesion characteristics.

Results

Optimal pre-dilation (balloon to core laboratory-derived reference vessel diameter ratio ≥1:1), vessel size selection (reference vessel diameter ≥2.25 mm and ≤3.75 mm), and post-dilation (with a noncompliant balloon at ≥18 atm and larger than the nominal scaffold diameter, but not by >0.5 mm larger) in all BVS-treated lesions were performed in 59.2%, 81.6%, and 12.4% of patients, respectively. BVS implantation in properly sized vessels was an independent predictor of freedom from TLF through 1 year (hazard ratio [HR]: 0.67; p = 0.01) and through 3 years (HR: 0.72; p = 0.01), and of freedom from ScT through 1 year (HR: 0.36; p = 0.004). Aggressive pre-dilation was an independent predictor of freedom from ScT between 1 and 3 years (HR: 0.44; p = 0.03), and optimal post-dilation was an independent predictor of freedom from TLF between 1 and 3 years (HR: 0.55; p = 0.05).

Conclusions

In the present large-scale analysis from the major ABSORB studies, after multivariable adjustment for baseline patient and lesion characteristics, vessel sizing and operator technique were strongly associated with BVS-related outcomes during 3-year follow-up. (ABSORB II Randomized Controlled Trial [ABSORB II]; NCT01425281; ABSORB III Randomized Controlled Trial [RCT] [ABSORB-III]; NCT01751906; A Clinical Evaluation of Absorb Bioresorbable Vascular Scaffold [Absorb BVS] System in Chinese Population—ABSORB CHINA Randomized Controlled Trial [RCT] [ABSORB CHINA]; NCT01923740; ABSORB EXTEND Clinical Investigation [ABSORB EXTEND]; NCT01023789; AVJ-301 Clinical Trial: A Clinical Evaluation of AVJ-301 [Absorb BVS] in Japanese Population [ABSORB JAPAN]; NCT01844284)



http://ift.tt/2noG4vE

Will Physicians Benefit From Appropriate Use Criteria-Based Education and Feedback Intervention?



http://ift.tt/2jLrWYm

Can the Vanishing Stent Reappear?: Fix the Technique, or Fix the Device?



http://ift.tt/2nqlD1k

Catheter Ablation of Ventricular Tachycardia in Structurally Normal Hearts: Indications, Strategies, and Outcomes--Part I

Abstract

Catheter ablation of ventricular tachycardia (VT) is being increasingly performed; yet, there is often confusion regarding indications, outcomes, and how to identify those patient populations most likely to benefit. The management strategy differs between those with structural heart disease and those without. For the former, an implantable cardioverter-defibrillator (ICD) is typically required due to an elevated risk for sudden cardiac death, and catheter ablation can be used as adjunctive therapy to treat or prevent repetitive ICD therapies. In contrast, VT or premature ventricular contractions in the setting of a structurally normal heart carries a low risk for sudden cardiac death; accordingly, there is typically no indication for an ICD. In these patients, catheter ablation is considered for symptom management or to treat tachycardiomyopathy and is potentially curative. Here, the authors discuss the pathophysiology, mechanism, and management of VT that occurs in the setting of a structurally normal heart and the role of catheter ablation.



http://ift.tt/2igYl8X

Atrial Infarction and Ischemic Mitral Regurgitation Contribute to Post-MI Remodeling of the Left Atrium

AbstractBackground

Left atrial (LA) remodeling after an acute myocardial infarction (MI) is poorly characterized regarding its determinants or its effect on ischemic mitral regurgitation (MR) development.

Objectives

The purpose of this study was: 1) to compare LA structural remodeling in experimental MI swine models recapitulating the effects of left ventricular (LV) dysfunction, ischemic MR, and left atrial infarction (LAI); and 2) to analyze how LA remodeling influences ischemic MR development.

Methods

Three models of MI were generated: 1) proximal left circumflex (LCx) coronary artery occlusion involving the LA branch (LAI group); 2) proximal LCx occlusion not involving the LA branch (LCx group); and 3) left anterior descending (LAD) occlusion (LAD group). Serial cardiac magnetic resonance scans were performed to define LA and LV remodeling and ischemic MR, and were correlated with histology.

Results

Occlusion of the LA branch (LAI group) induced a greater degree of LA dilation at 1 and 8 weeks post-MI than the LCx and LAD groups, along with early and severe impairment of LA function. In the LCx and LAD groups, LA dysfunction was less pronounced and not consistent. Development of ischemic MR was more pronounced in the LAI group than in the LCx group. Histology confirmed atrial infarction with extensive fibrosis in the LAI group and interstitial fibrosis in the LCx group. In the LAD group, LA remodeling was not observed by cardiac magnetic resonance or histology.

Conclusions

We provide the first experimental evidence of the deleterious effect of acute LAI on atrial structural remodeling, characterized by early LA dilation, dysfunction, and fibrosis, and early occurrence of ischemic MR.



http://ift.tt/2zMOcry

Earning Trust Through Empathy as a Young Interventionalist: "Is This Your First Time Doing This?"



http://ift.tt/2ijxoBk

Atrial Myocardial Infarction: A Neglected Stalker in Coronary Patients



http://ift.tt/2nsl1IO

Cardiac {beta}arrestin2 Improves Contractility and Adverse Remodeling in Heart Failure, But Is Underexpressed in Humans



http://ift.tt/2ihSPmr

Eplerenone Reduces Atrial Fibrillation Burden Without Preventing Atrial Electrical Remodeling

AbstractBackground

The aldosterone inhibitor eplerenone (EPL) has been shown to reduce the incidence of atrial fibrillation (AF) in patients with systolic heart failure, but the mechanism is unknown.

Objectives

This study hypothesized that by reducing atrial dilation and fibrosis in the absence of heart failure, EPL also reduces AF burden and prevents AF perpetuation.

Methods

The authors conducted a randomized controlled study in 34 sheep that were atrially tachypaced (13 ± 1 week). They compared daily oral EPL (n = 19) versus sugar pill (SP) treatment (n = 15) from the start of tachypacing. The endpoint was a continuous 7-day stretch of persistent AF (n = 29) or completion of 23 weeks tachypacing (n = 5).

Results

EPL significantly reduced the rate of left atrial dilation increase during AF progression. Atria from EPL-treated sheep had less smooth muscle actin protein, collagen-III expression, interstitial atrial fibrosis, and cell hypertrophy than SP-treated sheep atria did. However, EPL did not modify the AF-induced increase in the rate of dominant frequency and ion channel densities seen under SP treatment, but rather prolonged the time to persistent AF in 26% of animals. It also reduced the degree of fibrillatory conduction, AF inducibility, and AF burden.

Conclusions

In the sheep model, EPL mitigates fibrosis and atrial dilation, modifies AF inducibility and AF complexity, and prolongs the transition to persistent AF in 26% of animals, but it does not prevent AF-induced electrical remodeling or AF persistence. The results highlight structural remodeling as a central upstream target to reduce AF burden, and the need to prevent electrical remodeling to avert AF perpetuation.



http://ift.tt/2zMrLCU

Reply: Atrial Fibrillation: The Next Epidemic for Patients With Congenital Heart Disease



http://ift.tt/2iggLGL

Upstream Targets to Treat Atrial Fibrillation



http://ift.tt/2jLs2PI

Reply: Will Physicians Benefit From Appropriate Use Criteria-Based Education and Feedback Intervention?



http://ift.tt/2iigPWs

The lymphatics in infiltrating ductal carcinoma (IDC) of the breast

Publication date: January 2018
Source:Cancer Treatment Reviews, Volume 62
Author(s): Johannes P. van Netten, Stephen Hoption Cann, Ian G. Thornton, Rory P. Finegan




http://ift.tt/2A2zwsy

Proton therapy for locally advanced breast cancer: a systematic review of the literature

Publication date: Available online 24 November 2017
Source:Cancer Treatment Reviews
Author(s): Emmanuel Kammerer, Jennifer Le Guevelou, Abdulhamid Chaikh, Serge Danhier, Julien Geffrelot, Christelle Levy, Eric Saloux, Jean-Louis Habrand, Juliette Thariat
BackgroundRadiation therapy plays a major role in the management of adjuvant breast cancer with nodal involvement, with an iatrogenic increase of cardio-vascular risk. Photon therapy, even with intensity modulation, has the downsides of high mean heart dose and heterogeneous target coverage, particularly in the case of internal mammary irradiation. This systematic review of the literature aims to evaluate proton therapy in locally advanced breast cancer.Material and methodsPubMed was searched for original full-text articles with the following search terms: «Proton Therapy» and «Breast Cancer». On-going trials were collected using the words "Breast Cancer" and "Protons".Results13 articles met the criteria: 6 with passive proton therapy (Double Scattering), 5 with Pencil Beam Scanning (PBS) and 2 with a combination of both. Proton therapy offered a better target coverage than photons, even compared with intensity modulation radiation therapy (including static or rotational IMRT or tomotherapy). With proton therapy, volumes receiving 95% of the dose were around 98%, with low volumes receiving 105% of the dose. Proton therapy often decreased mean heart dose by a factor of 2 or 3, i.e. 1 Gy with proton therapy versus 3 Gy with conventional 3D, and 6 Gy for IMRT. Lungs were better spared with proton therapy than with photon therapy. Cutaneous toxicity observed with double scattering is improved with PBS.ConclusionProton therapy reduces mean heart dose in breast cancer irradiation, probably reducing late cardio-vascular toxicity. Large clinical studies will likely confirm a clinical benefit of proton therapy.

Graphical abstract

image


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CXCL9, CXCL10, CXCL11/CXCR3 axis for immune activation - a target for novel cancer therapy

S03057372.gif

Publication date: Available online 26 November 2017
Source:Cancer Treatment Reviews
Author(s): Ryuma Tokunaga, Wu Zhang, Madiha Naseem, Alberto Puccini, Martin D Berger, Shivani Soni, Michelle McSkane, Hideo Baba, Heinz-Josef Lenz
Chemokines are proteins which induce chemotaxis, promote differentiation of immune cells, and cause tissue extravasation. Given these properties, their role in anti-tumor immune response in the cancer environment is of great interest. Although immunotherapy has shown clinical benefit for some cancer patients, other patients do not respond. One of the mechanisms of resistance to checkpoint inhibitors may be chemokine signaling. The CXCL9, -10, -11/CXCR3 axis regulates immune cell migration, differentiation, and activation, leading to tumor suppression (paracrine axis). However, there are some reports that show involvements of this axis in tumor growth and metastasis (autocrine axis). Thus, a better understanding of CXCL9, -10, -11/CXCR3 axis is necessary to develop effective cancer control. In this article, we summarize recent evidence regarding CXCL9, CXCL10, CXCL11/ CXCR3 axis in the immune system and discuss their potential role in cancer treatment.



http://ift.tt/2ATEAj9

Rationale for combination of therapeutic antibodies targeting tumor cells and immune checkpoint receptors: harnessing innate and adaptive immunity through IgG1 isotype immune effector stimulation

Publication date: Available online 2 December 2017
Source:Cancer Treatment Reviews
Author(s): Robert L. Ferris, Heinz-Josef Lenz, Anna Maria Trotta, Jesús García-Foncillas, Jeltje Schulten, François Audhuy, Marco Merlano, Gerard Milano
Immunoglobulin (Ig) G1 antibodies stimulate antibody-dependent cell-mediated cytotoxicity (ADCC). Cetuximab, an IgG1 isotype monoclonal antibody, is a standard-of-care treatment for locally advanced and recurrent and/or metastatic squamous cell carcinoma of the head and neck (SCCHN) and metastatic colorectal cancer (CRC). Here we review evidence regarding the clinical relevance of cetuximab-mediated ADCC and other immune functions and provide a biological rationale concerning why this property positions cetuximab as an ideal partner for immune checkpoint inhibitors (ICIs) and other emerging immunotherapies. We performed a nonsystematic review of available preclinical and clinical data involving cetuximab-mediated immune activity and combination approaches of cetuximab with other immunotherapies, including ICIs, in SCCHN and CRC. Indeed, cetuximab mediates ADCC activity in the intratumoral space and primes adaptive and innate cellular immunity. However, counterregulatory mechanisms may lead to immunosuppressive feedback loops. Accordingly, there is a strong rationale for combining ICIs with cetuximab for the treatment of advanced tumors, as targeting CTLA-4, PD-1, and PD-L1 can ostensibly overcome these immunosuppressive counter-mechanisms in the tumor microenvironment. Moreover, combining ICIs (or other immunotherapies) with cetuximab is a promising strategy for boosting immune response and enhancing response rates and durability of response. Cetuximab immune activity—including, but not limited to, ADCC—provides a strong rationale for its combination with ICIs or other immunotherapies to synergistically and fully mobilize the adaptive and innate immunity against tumor cells. Ongoing prospective studies will evaluate the clinical effect of these combination regimens and their immune effect in CRC and SCCHN and in other indications.



http://ift.tt/2ATvYZz

Isolation of monocrotophos-degrading strain Sphingobium sp. YW16 and cloning of its Tn opdA

Abstract

The bacterial strain Sphingobium sp. YW16, which is capable of degrading monocrotophos, was isolated from paddy soil in China. Strain YW16 could hydrolyze monocrotophos to dimethylphosphate and N-methylacetoacetamide and utilize dimethylphosphate as the sole carbon source but could not utilize N-methylacetoacetamide. Strain YW16 also had the ability to hydrolyze other organophosphate pesticides. A fragment (7067 bp) that included the organophosphorus hydrolase gene, opdA, was acquired from strain YW16 using the shotgun technique combined with SEFA-PCR. Its sequence illustrated that opdA was included in TnopdA, which consisted of a transpose gene, a putative integrase gene, a putative ATP-binding protein gene, and opdA. Additionally, a conjugal transfer protein gene, traI, was located downstream of TnopdA. The juxtaposition of TnopdA with TraI suggests that opdA may be transferred from strain YW16 to other bacteria through conjugation. OpdA was able to hydrolyze a wide range of organophosphate pesticides, with the hydrolysis efficiency decreasing as follows: methyl parathion > fenitrothion > phoxim > dichlorvos > ethyl parathion > trichlorfon > triazophos > chlorpyrifos > monocrotophos > diazinon. This work provides the first report of opdA in the genus Sphingobium.



http://ift.tt/2AJEUQZ

Synergy of Pembrolizumab Anti-PD-1 Immunotherapy With Chemotherapy for Poorly Chemo-responsive Thyroid and Salivary Gland Tumors

Conditions:   Thyroid Cancer;   Salivary Gland Cancer
Interventions:   Drug: Pembrolizumab;   Drug: Docetaxel
Sponsor:   University of Chicago
Not yet recruiting

http://ift.tt/2iL8qP8

BRIDGE: Proactive Psychiatry Consultation and Case Management for Patients With Cancer

Conditions:   Cancer;   Severe Major Depression;   Schizophrenia;   Bipolar Disorder;   Lung Cancer;   Breast Cancer;   Head and Neck Cancer;   Gastrointestinal Cancer
Intervention:   Other: Proactive Psychiatry Consultation
Sponsors:   Massachusetts General Hospital;   Harvard Risk Management Foundation
Not yet recruiting

http://ift.tt/2ALAkl7

Primary Prevention of Concussion in Youth Ice Hockey Players

Condition:   Concussion
Interventions:   Other: Specific intervention;   Other: Control intervention
Sponsor:   Sport Injury Prevention Research Centre
Recruiting

http://ift.tt/2AL94mL

A Study to Evaluate the Safety, Tolerability, and Antitumor Activity of INCB001158 Plus Epacadostat, With or Without Pembrolizumab, in Advanced Solid Tumors

Condition:   Advanced or Metastatic Solid Tumors
Interventions:   Drug: INCB001158;   Drug: Epacadostat;   Drug: Pembrolizumab
Sponsor:   Incyte Corporation
Not yet recruiting

http://ift.tt/2iM3qdj

Multi-disciplinary management of refractory insulinomas

Abstract

Insulinomas are predominantly benign (~90%), pancreatic neuroendocrine tumours characterised by hyperinsulinaemic hypoglycaemia. They usually present as a small (<2cm), well demarcated, solitary nodule that can arise in any part of the organ. Treatment of sporadic insulinomas is generally aimed at curative surgical resection with special consideration in genetic syndromes.

Patients with significant hypoglycaemia can pose a difficult management challenge. In isolated cases where the patient is not medically fit for surgery or with metastatic spread, other treatment options are employed. Medical therapy with diazoxide or somatostatin analogues are commonly used first-line for symptom control, albeit with variable efficacy. Other medical options are emerging including newer targeted biological therapies, including everolimus (an mTOR inhibitor), sunitinib (a tyrosine kinase inhibitor) and pasireotide, a multi-somatostatin receptor ligand. Pasireotide and everolimus both cause hyperglycaemia by physiological mechanisms synergistic with its anti-tumour/anti-proliferative effects. Minimally invasive treatment modalities such as ethanol ablation are available in selected cases (particularly in patients unfit for surgery), peptide receptor radionuclide therapy (PRRT) can effectively control tumour growth or provide symptomatic benefit in metastatic disease while cytotoxic chemotherapy can be used in patients with higher grade tumours.

This review considers the developments in the medical and other non-surgical management options for cases refractory to standard medical management. Early referral to a dedicated neuroendocrine multidisciplinary team is critical considering the array of medical, oncological, interventional radiological and nuclear medical options. We discuss the evolving armamentarium for insulinomas when standard medical therapy fails.

This article is protected by copyright. All rights reserved.



http://ift.tt/2ASLqoZ

Preparation of Fe-Cu-kaolinite for catalytic wet peroxide oxidation of 4-chlorophenol

Abstract

Fe-Cu-kaolinites were prepared by co-precipitation and hydrothermal methods, and characterized by X-ray diffraction (XRD) and scanning electron microscope (SEM), where 2 wt.% natural kaolinite was dispersed, and the ratios of (Al + Fe + Cu)/clay = 10 mmol/g and Al/(Fe + Cu) = 5/1 were maintained. The effect of different drying methods (vacuum drying, ethanol exchange drying, freeze-drying, microwave drying, normal oven drying) and different Fe/Cu molar ratio (0/2, 0.4/1.6, 0.8/1.2, 1/1, 1.2/0.8, 1.6/0.4, 2/0) was also assessed. Catalytic wet peroxide oxidation (CWPO) reaction of 4-chlorophenol (4-CP) was used to probe the reactivity and activity of the materials prepared. The results showed that Fe and Cu could be successfully intercalated into the interlayer of kaolinite by hydrothermal method, where specific surface area and pore volume increased by 19 times and 7 times, respectively; the intensity of basal space (001) reflection peak was reduced by 80%, and tip width was doubly increased. The catalyst possessed higher reactivity, with 85.5% of 4-CP conversion being observed, whereas only 15.2% of 4-CP was removed over raw kaolinite. High-power microwave drying (720 W) was the best drying method, because it resulted in greater microstructure and thus higher reactivity (85.3% of 4-CP conversion), with lower active metal (Fe or Cu) leaching (3.96 mg L−1). Fe/Cu molar ratio of 0.8–1.0/1.2–1.0 was considered as the optimum ratio in pillaring solution, for maintaining higher catalytic activity (85–90% of 4-CP conversion) and lower metal (Fe or Cu) leaching (7–9.3 mg L−1).



http://ift.tt/2AtYxK3

Toxic effects of linear alkylbenzene sulfonate on Chara vulgaris L.

Abstract

Linear alkylbenzene sulfonate (LAS) is a common organic pollutant in freshwater environments. Studies have shown that the toxicity of LAS to aquatic plants is directly related to the LAS concentration and depends on the plant species. A 2-week exposure experiment was designed to investigate the toxicity of LAS for the submerged plant Chara vulgaris L. and focused on the effects on growth, photosynthetic pigment content, and antioxidant enzyme activity. The results showed that when exposed to lower LAS doses (≤ 1.0 mg l−1), the dry weight of C. vulgaris was significantly reduced. Compared to those of the control group, superoxide dismutase (SOD) and peroxidase (POD) activities significantly increased, while no significant effect was observed for catalase (CAT) activity. Malondialdehyde (MDA) content significantly increased in the LAS treatment groups except for the LAS concentration of 1.0 mg l−1. The content of carotenoids was significantly lower in plant groups exposed to lower concentrations of LAS, while carotenoid content significantly increased at the highest concentration of LAS (5.0 mg l−1). LAS treatment did not significantly affect chlorophyll a and b or total chlorophyll content. The results showed that 5.0 mg l−1 causes some oxidative damage to C. vulgaris but that this concentration was far below the lethal concentration of LAS to C. vulgaris and did not produce severe effects on growth. C. vulgaris plants had some resistance to LAS stress (in the group with ≤ 5.0 mg l−1). SOD, POD, and carotenoids were more sensitive to the effects of LAS stress and may be considered as response indicators for LAS stress.



http://ift.tt/2AqbW87

Determination and environmental risk assessment of synthetic musks in the water and sediments of the Jiaozhou Bay wetland, China

Abstract

Human activity in estuarine areas has resulted in pollution of the aquatic environment, but little is known about the levels of synthetic musks (SMs) in river water and sediments in estuarine areas. This study investigated the concentrations and distribution of SMs in the Jiaozhou Bay wetland, including celestolide, phantolide, traseolide, galaxolide (HHCB), tonalide (AHTN), musk xylene and musk ketone (MK). The SMs HHCB, AHTN and MK were detected at concentrations of 10.7–208, not detected (ND)–59.2 and ND–13.6 ng/L, respectively, in surface water samples and 13.1–27.3, 3.06–14.5 and 1.33–18.8 ng/g (dry weight; dw), respectively, in sediment samples. Based on the calculated total organic carbon (TOC) concentrations, there was no significant correlation between SMs and TOC in sediment samples (p > 0.05). The hazard quotients were 0.204, 0.386 and 0.059 for AHTN, HHCB and MK, respectively, which indicated no serious environmental impact, because these values are all less than 1. The concentrations of SMs decreased as the distance to the Xiaojianxi refuse landfill increased in both surface water and sediments. Compared with previous studies, the concentration of SMs in the Jiaozhou Bay wetland was relatively high. Therefore, more attention should be paid to SMs because of their persistent impact on human health and the environment.



http://ift.tt/2AKbTVg

Analysis method for PCBs in reclaimed oil using a fast-GC triple stage quadrupole mass spectrometer with the 13-component quantitation method

Abstract

It is necessary for companies supplying reclaimed oil to analyze polychlorinated biphenyls (PCBs), because there is a possibility of the presence of contaminants due to trace-level PCBs in the reclaimed oil. However, common analysis methods of PCBs are time-consuming and complicated. Fast-GC triple stage quadrupole mass spectrometer with the 13-component quantitation method is an official method for analyzing PCBs in insulating oil in Japan. This method is extremely fast and simplified. The purpose of this study involves an investigation of the aforementioned fast and simple method for potential use in the analysis of reclaimed oil. Furthermore, it was attempted to combine the method with sample preparation involving only hexane dilution. The effect of sample dilutions corresponding to 100, 300, and 500 times was evaluated for reducing the matrix effect. The matrix effect was suppressed at a dilution ratio equal to or exceeding 300 times. Calibration curves of four points, namely 0.01, 0.05, 0.1, and 0.5 ng/mL, (ignored origin) by using an internal standard method were prepared for the 13 components. The square of regression coefficient (R2) values of all calibration curves exceeded 0.997. This method was adopted for the analysis of reclaimed oil containing 0.5 μg/mL PCBs, which corresponds to the judgment criteria, and accurate quantitation (accuracy value, 94.0–102%) and good repeatability (%RSD, 3.6%) were obtained. Furthermore, the required sensitivity was maintained even when 800 samples were analyzed without a cleaning ion source and an exchanging analysis column.



http://ift.tt/2AKiCyq

Should subcentimeter non-invasive encapsulated, follicular variant of papillary thyroid carcinoma be included in the noninvasive follicular thyroid neoplasm with papillary-like nuclear features category?

Abstract

Objective

In 2016, non-invasive, well-circumscribed and encapsulated, follicular variant of papillary thyroid carcinoma (NI-EFV PTC) was reclassified as noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) in order to reduce overtreatment of this indolent tumor. However, the study cohort did not include subcentimeter tumors, i.e., papillary thyroid microcarcinoma (mPTC) with NI-EFV morphology, and such lesions are still regarded and staged by most pathologists as microcarcinomas. It is therefore crucial to evaluate the clinical outcome of subcentimeter NI-EFVs.

Methods

A total of 52 patients with unifocal mPTC, NI-EFV from five tertiary hospitals who had at least one year clinical follow-up (FU) without post-operative RAI administration were included in the study. A control group of 57 invasive mPTC follicular variant was also included.

Results

The median tumor size was 0.44 cm (range 0.1–0.9 cm). There were no distant or lymph node metastases at diagnosis in all patients. Twenty-three patients (44%) underwent lobectomy alone, while the remaining received total thyroidectomy. No recurrence was observed in the entire cohort (n = 52) including all 38 patients with at least 2 years of FU (median FU: 6.3 years). Among 25 patients with ≥5 years of FU, none recurred with a median FU of 9.6 years (range 5.2–18.1 years). In contrast, in the control group with invasive mPTC follicular variant, there were 5 (9%) patients with nodal metastasis at presentation and 1 (2%) who displayed nodal recurrence.

Conclusion

Papillary thyroid microcarcinoma, NI-EFV, when stringently selected for, lacks metastasis at presentation and follows an extremely indolent clinical course, even when treated conservatively without RAI therapy. Provided stringent inclusion criteria are met, classification of subcentimeter mPTC, NI-EFV as NIFTP should be considered in order to avoid overtreatment of these biologically indolent lesions.



http://ift.tt/2nsfaTC

Should subcentimeter non-invasive encapsulated, follicular variant of papillary thyroid carcinoma be included in the noninvasive follicular thyroid neoplasm with papillary-like nuclear features category?

Abstract

Objective

In 2016, non-invasive, well-circumscribed and encapsulated, follicular variant of papillary thyroid carcinoma (NI-EFV PTC) was reclassified as noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP) in order to reduce overtreatment of this indolent tumor. However, the study cohort did not include subcentimeter tumors, i.e., papillary thyroid microcarcinoma (mPTC) with NI-EFV morphology, and such lesions are still regarded and staged by most pathologists as microcarcinomas. It is therefore crucial to evaluate the clinical outcome of subcentimeter NI-EFVs.

Methods

A total of 52 patients with unifocal mPTC, NI-EFV from five tertiary hospitals who had at least one year clinical follow-up (FU) without post-operative RAI administration were included in the study. A control group of 57 invasive mPTC follicular variant was also included.

Results

The median tumor size was 0.44 cm (range 0.1–0.9 cm). There were no distant or lymph node metastases at diagnosis in all patients. Twenty-three patients (44%) underwent lobectomy alone, while the remaining received total thyroidectomy. No recurrence was observed in the entire cohort (n = 52) including all 38 patients with at least 2 years of FU (median FU: 6.3 years). Among 25 patients with ≥5 years of FU, none recurred with a median FU of 9.6 years (range 5.2–18.1 years). In contrast, in the control group with invasive mPTC follicular variant, there were 5 (9%) patients with nodal metastasis at presentation and 1 (2%) who displayed nodal recurrence.

Conclusion

Papillary thyroid microcarcinoma, NI-EFV, when stringently selected for, lacks metastasis at presentation and follows an extremely indolent clinical course, even when treated conservatively without RAI therapy. Provided stringent inclusion criteria are met, classification of subcentimeter mPTC, NI-EFV as NIFTP should be considered in order to avoid overtreatment of these biologically indolent lesions.



http://ift.tt/2nsfaTC

Scholar : These new articles for Alcheringa: An Australasian Journal of Palaeontology are available online

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Scholar : These new articles for Critical Discourse Studies are available online

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Primary cutaneous secretory carcinoma: a previously overlooked low grade sweat-gland carcinoma

Abstract

Twelve cases of primary cutaneous secretory carcinoma (PCSC) have been published; nine of them showed the ETV6-NTRK3 translocation and an additional case had a heterozygous deletion of ETV6 in 25% of cells (Table 1).1-7 These cutaneous tumors are related to secretory breast carcinoma (SBC) and mammary analogue secretory carcinoma (MASC) from the salivary glands, with all sharing a balanced chromosomal translocation of t(12;15)(p13;q25) that leads to ETV6-NTRK3 gene fusion.



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Preventive use of berberine in inhibition of lead - induced renal injury in rats

Abstract

The kidney is one of the main organs affected by lead toxicity. We investigated the effects of berberine on lead-induced nephrotoxicity in adult male Wistar rats. Animals received an aqueous solution of lead acetate (500 mg Pb/L in the drinking water) and/or berberine (50 mg/kg, i.g.) for 8 weeks. Lead caused an increase in malondialdehyde (P < 0.001) and total oxidant status (P < 0.01), and a decrease in reduced glutathione (P < 0.001), catalase (P < 0.01), superoxide dismutase (P < 0.001), and total antioxidant capacity (P < 0.05). Berberine prevented the prooxidant and antioxidant imbalance induced by lead (P < 0.001). Berberine corrected the increased relative kidney weight (P < 0.05) and biomarkers of renal function (creatinine (P < 0.001), urea (P < 0.05), uric acid (P < 0.001), albumin (P < 0.01), and total protein (P < 0.05)) in lead group. It also attenuated lead-induced abnormal renal structure. The results confirmed renoprotective effects of berberine in an animal model of lead-induced nephrotoxicity by molecular, biochemical, and histopathological analysis through inhibiting lipid peroxidation and enhancing antioxidant defense system mechanisms. Therefore, berberine makes a good candidate to protect against the deleterious effect of chronic lead intoxication.



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Neuroprotective potential of crocin against malathion-induced motor deficit and neurochemical alterations in rats

Abstract

In several epidemiological studies, an association between pesticide exposure and the incidence of Parkinson's disease (PD) has been reported. Increasing evidence showed that oxidative stress plays an important role in the pathogenesis of PD. The present study investigated the preventive effect of crocin, saffron active components, on malathion (an organophosphate pesticide (OP))-induced Parkinson-like behaviors in rat. Rats were divided into eight groups: control (normal saline), malathion (100 mg/kg/day, i.p), crocin (10, 20, or 40 mg/kg/day, i.p) plus malathion, levodopa (10 mg/kg/day, i.p) plus malathion, crocin (40 mg/kg/day, i.p), and PEG (vehicle of levodopa) groups. Treatments were continued for 28 days. The neurobehavioral tests which include open field, rotarod and catalepsy were performed on day 28. The activity of acetylcholinesterase (AChE) in serum, the levels of malondialdehyde (MDA), reduced glutathione (GSH), TNF-α, and IL-6 in striatum at the end of treatments were evaluated. Results showed that malathion induced neurobehavioral impairments together with elevation of MDA, TNF-α and IL-6 levels, reduction of GSH, and AChE activity. Crocin (10, 20, and 40 mg/kg) improved neurobehavioral impairments induced by malathion but not AChE activity. Crocin (10, 20, and 40 mg/kg) or levodopa plus malathion decreased MDA and increased GSH. Also crocin (10 mg/kg) decreased TNF-α and IL-6 levels in striatum. In summary, subchronic malathion exposure induced Parkinson-like behavior in rat. Crocin exhibited protective effects against malathion-induced Parkinson-like behavior through reducing lipid peroxidation, improvement of motor deficit and anti-inflammatory effects.



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RNASEH1 gene variants are associated with autoimmune type 1 diabetes in Colombia

Abstract

Background

In a previous work, we found linkage and association of type 1 diabetes (T1D) to a 12 known gene region at chromosome 2p25 in Colombian families. Here, we present further work on this candidate region.

Materials and methods

Seventeen SNPs located on the 12 candidate genes, in 100 familial trios set, were tested by ARMS–tetraprimer–PCR or PCR–RFLP. Five extra SNPs in the vicinity of rs10186193 were typed. A replica phase included 97 novel familial trios, in whom diabetes-related auto-antibodies (AABs) were tested in sera of the patients. In addition to transmission disequilibrium tests, haplotype analyses were carried out using the unphased software.

Results

SNP rs10186193 (at RNASEH1 gene) showed association with T1D (P = 0.005). The additional five SNPs revealed that rs7607888 (P = 2.03 × 10−7), rs55981318 (P = 0.018), and rs1136545 (P = 1.93 × 10−9) were also associated with T1D. Haplotype analysis showed association for rs55981318rs10186193 (P = 0.0005), rs7563960rs7607888 (P = 0.0007), rs7607888rs1136545 (P = 9.21 × 10−10), and rs1136545rs11538545 (P = 6.67 × 10−8). In contrast, the new set of 97 familial trios tested for SNPs rs55981318, rs10186193, and rs7607888 did not support the previous finding; however, by combining the sample (197 trios), evidence of association of T1D with rs55981318 and rs7607888 was conclusive. In addition, a two-loci haplotype analysis of the combined sample showed significant association of RNASEH1 with T1D (P = 3.1 × 10−5).

Conclusion

In conclusion, our analyses suggest that RNASEH1 gene variants associate with susceptibility/protection to T1D in Colombia.



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