摘要： (no summary available)

关键词： Schwannoma   Neurilemmoma   Breast Surgery   Benign breast disease  

摘要： Schwannoma (SCH) is a benign peripheral nerve sheath neoplasm of Schwann cell origin. It can be observed anywhere whilst the breast is uncommon site. Preliminary investigations are not entirely diagnostic and surgical excision is often required to reach a conclusion. We conducted a retrospective review in two European Breast units to know more about this rare condition. Herein, we provide a comprehensive review and we question whether the surgical approach to management can be changed.

关键词： proteomics   prostatic neoplasms   biomarkers   gonadotropin-releasing hormone   cardiovascular physiological phenomena  

摘要： Purpose: Recent studies demonstrated reduced cardiovascular (CV) risk with gonadotropin-releasing hormone (GnRH) antagonist, yet the underlying mechanism remains undetermined. The objective of this study was to examine longitudinal changes over time in established CV related proteins among men treated with GnRH agonists vs GnRH antagonist. Materials and Methods: We performed a proteomics analysis of serum samples collected during a phase II randomized study among 80 men with advanced prostate cancer and preexisting CV disease who were randomized to receive a GnRH agonist (39) or GnRH antagonist (41) for 1 year. Serum samples were collected at baseline and at 3, 6 and 12 months following treatment, and analyzed levels of 188 proteins using the CV panel II and III of the Olink Multiplex platform (Olink Proteomics AB, Uppsala, Sweden). We fitted a linear mixed effects model to assess evidence of a treatment effect across CV related protein values. This included terms for treatment arm, protein levels and time-by-treatment interaction. Results were corrected for multiple testing using the Benjamini-Hochberg method. Results: The CV proteomics analysis included 283 samples from 78 subjects. We identified 5 proteins with distinct patterns over time depending on study arm: human chitotriosidase, macrophage receptor with collagenous structure, cathepsin D, superoxide dismutase 2 and hydroxyacid oxidase 1. All 5 are associated with plaque stability and demonstrated an increased level among subjects in the GnRH antagonist arm compared to agonist. Conclusions: We compared longitudinal changes in CV proteins among men using androgen deprivation therapy. Our results support a direct protective effect of GnRH antagonist on plaque stability rather than a hazardous consequence of GnRH agonists on plaque rupture. This is a hypothesis generating study, and requires further confirmation.

关键词： Diagnosis   Evaluation   Inflammatory markers   Management  

摘要： Objective To identify clinical and laboratory features that differentiate dengue fever patients from MIS-C patients and determine their outcomes. Methods This comparative cross-sectional study was done at a tertiary care teaching institute. We enrolled all hospitalized children aged 1 month-18 years and diagnosed with either MIS-C and/or dengue fever according to WHO criteria between June and December, 2020. Clinical and laboratory features and outcomes were recorded on a structured proforma. Results During the study period 34 cases of MIS-C and 83 cases of Dengue fever were enrolled. Mean age of MIS-C cases (male, 86.3%) was 7.89 (4.61) years. MIS-C with shock was seen in 15 cases (44%), MIS-C without shock in 17 cases (50%) and Kawasaki disease-like presentation in 2 cases (6%). Patients of MIS-C were younger as compared to dengue fever (P=0.002). Abdominal pain and erythematous rash were more common in dengue fever. Of the inflammatory markers, mean C reactive protein was higher in MIS-C patients [100.2 (85.1) vs 16.9 (29.3) mg/dL] (P<0.001). In contrast, serum ferritin levels were higher in dengue fever patients (P=0.03). Mean hospital stay (patient days) was longer in MIS- C compared to dengue fever (8.6 vs 6.5 days;P=0.014). Conclusions Clinical and laboratory features can give important clues to differentiate dengue fever and MIS-C and help initiate specific treatment.

摘要： Objective The left retroperitoneal (LRP) approach to the aorta is a well-established technique for aortic exposure. The right retroperitoneal (RRP) approach to the aorta has been performed less often, and the outcomes remain unknown. The purpose o...

关键词： alternative polyadenylation   epigenetics   heterochromatin   microRNA   rice development  

摘要： Despite a much higher proportion of intragenic heterochromatin-containing genes in crop genomes, the importance of intragenic heterochromatin in crop development remains unclear. Intragenic heterochromatin can be recognised by a protein complex, ASI1-AIPP1-EDM2 (AAE) complex, to regulate alternative polyadenylation. Here, we investigated the impact of rice ASI1 on global poly(A) site usage through poly(A) sequencing and ASI1-dependent regulation on rice development. We found that OsASI1 is essential for rice pollen development and flowering. OsASI1 dysfunction has an important impact on global poly(A) site usage, which is closely related to heterochromatin marks. Intriguingly, OsASI1 interacts with the intronic heterochromatin of OsXRNL, a nuclear XRN family exonuclease gene involved in the processing of an miRNA precursor, to promote the processing of full-length OsXRNL and regulate miRNA abundance. We found that OsASI1-mediated regulation of pollen development partially depends on OsXRNL. Finally, we characterised the rice AAE complex and its involvement in alternative polyadenylation and pollen development. Our findings help to elucidate an epigenetic mechanism governing miRNA abundance and rice development, and provide a valuable resource for studying the epigenetic mechanisms of many important processes in crops.

关键词： nitrate removal   denitrification   alternative media   biochar   zeolite   surface profilometry   scanning electron microscopy  

摘要： Denitrification processes are crucial in aquaculture as they convert the undesirable nitrate to safer forms of nitrogen. Conventionally, plastic media are used for the biofiltration of wastewater. However, alternative media may be as effective/better than plastic and enhance the sustainability of the system. This study evaluated biochar and zeolite as alternatives for the denitrification of aquaculture effluents. Triplicates of laboratory-scale bioreactors were fabricated to compare the denitrification efficiencies of biochar and zeolite to that of plastic. The bioreactors were fed synthetic aquaculture wastewater having nitrate loading rates of 50, 125, and 150 mg/L. Zeolite exhibited highest values of surface roughness in terms of arithmetic mean height (0.89 mu m), maximum height (6.52 mu m), and root-mean-square height (1.17 mu m), as corroborated by surface profilometry and scanning electron microscopy. The results revealed that under pseudo-steady-state conditions, zeolite displayed the highest nitrate removal efficiency (maximum 95.02 +/- 0.01%), which was followed by biochar and plastic (maximum 92.91 +/- 0.01% and 92.57 +/- 0.02%, respectively) due to its extraordinary surface roughness that provided better adhesion to the bacteria. However, by the end of the study, all the media exhibited comparable rates. Thus, both zeolite and biochar are sustainable alternatives of biomedia for nitrate removal. However, time and labor constraints must be accounted for to scale-up such bioreactors.

摘要： Background and aims Parkinson's disease (PD) is a neurodegenerative disease caused by the deterioration of substantia nigra pars compacta's dopaminergic pathways, resulting in a decrease in stimulation of the motor cortex and symptoms linked to th...

关键词： Pediatrics   Pediatric Surgery   Maternal and Child Health  

关键词： urinary bladder neoplasms   cell biology   cystectomy   recurrence  

摘要： Purpose: Oncologic outcomes following urethral recurrence (UR) remain incompletely described, with reports limited by small cohort sizes. We evaluated risk factors for UR as well as cancer-specific survival (CSS) and overall survival (OS) among patients with UR. Materials and Methods: We reviewed our institutional radical cystectomy (RC) registry to identify patients with UR. Cox proportional hazards regression was used to assess risk factors for UR. Kaplan-Meier and Cox models were used to assess the relationship between UR and CSS/OS as well as to compare outcomes following symptomatic vs asymptomatic presentation of UR. Results: Overall, 2,930 patients underwent RC from 1980 to 2018, with a median postoperative followup of 7.1 years (IQR 2.8-13.1), of whom 144 (4.9%) were subsequently diagnosed with UR. Carcinoma in situ (HR 1.98, 95% CI 1.30-3.04), multifocal disease (HR 1.59, 95% CI 1.07-2.36) and prostatic urethral involvement at RC (HR 3.01, 95% CI 1.98-4.57) were associated with increased risk of UR. UR was associated with decreased CSS (HR 7.30, 95% CI 5.46-9.76) and OS (HR 1.86, 95% CI 1.54-2.24). A total of 63/144 patients were diagnosed with UR based on symptoms, while 104/144 patients with UR underwent urethrectomy. Patients with symptomatic UR had higher tumor stage at urethrectomy (>= pT2 in 13.1% vs 3.1%, p=0.007), while patients with asymptomatic UR experienced longer median CSS (12.1 vs 6.1 years) and OS (8.30 vs 4.82 years;p=0.05 for both). Conclusions: We identified pathological risk factors for UR after RC and report adverse subsequent survival outcomes for these patients. Presentation with symptomatic UR was associated with higher tumor stage and poorer prognosis, supporting a value to continued urethral surveillance after RC.