Estimation of Radiological and Pathological Pattern in a Case of Mastalgia

INTRODUCTION: Estimation of radiological and pathological pattern in a case of mastalgia. Mastalgia is the most common breast symptom in patients attending any breast clinic. In addition most of the causes of mastalgia are poorly understood, inadequately assessed and treated. AIM OF THE STUDY: 1. To study the natural history, different modes of clinical presentation, various radiological and pathological patterns of mastalgia. 2. To correlate clinical diagnosis with the histopathological diagnosis in order to refine our diagnostic skills MATERIALS AND METHODS: A sample size of 200 patients from surgery outpatient department with complaints of mastalgia, were subjected to detailed history and clinical examination. All the patients were subjected to ultrasonography and FNAC (as and when required). The patients who had lump size > 3cm with FNAC report fibroadenoma went in for excisional biopsy. RESULTS: Among 200 patients presented with mastalgia, 97pts (48%) had complaints of breast lump/lumpiness. 88pts (44%) were found to have lump/nodularity/abscess in USG. Among them 84pts (42%) went in for FNAC (except the 4pts with abscess). 32pts who had fibroadenoma in FNAC went in for excision biopsy. 4pts (2%) with nodularity were missed in clinical examination especially in age group below 25yrs. These were picked up by USG. There seems to be a near 100% correlation between USG and FNAC in benign breast lesions. CONCLUSION: Non-cyclical mastalgia is more prevalent than cyclical mastalgia among women in south India which needs more evaluation. Presence of previous history of benign breast diseases or treatment is a risk factor for mastalgia. USG is the best diagnostic tool in young females. Triple assessment for any breast lump or mastalgia forms gold standard in diagnosis

Novel insights into protein structure and dynamics utilizing the red edge excitation shift approach

A shift in the wavelength of maximum fluorescence emission toward higher wavelengths, caused by a corresponding shift in the excitation wavelength toward the red edge of the absorption band, is termed the red edge excitation shift (REES). This effect is mostly observed with polar fluorophores in motionally restricted media such as viscous solutions or condensed phases where the dipolar relaxation time for the solvent shell around a fluorophore is comparable to or longer than its fluorescence lifetime. REES arises from slow rates of solvent relaxation (reorientation) around an excited state fluorophore which depends on the motional restriction imposed on the solvent molecules in the immediate vicinity of the fluorophore. Utilizing this approach, it becomes possible to probe the mobility parameters of the environment itself (which is represented by the relaxing solvent molecules) using the fluorophore merely as a reporter group. Further, since the ubiquitous solvent for biological systems is water, the information obtained in such cases will come from the otherwise 'optically silent' water molecules. This makes REES extremely useful since hydration plays a crucial modulatory role in the formation and maintenance of organized molecular assemblies such as folded proteins in aqueous solutions and biological membranes. The application of REES as a powerful tool to monitor the organization and dynamics of a variety of soluble, cytoskeletal, and membrane-bound proteins is discusse

Anomalous cooling of the parallel velocity in seeded beams

We have measured the parallel velocity distribution of a lithium supersonic beam produced by seeding lithium in argon. The parallel temperature for lithium is considerably lower than the calculated parallel temperature of the argon carrier gas. We have extended the theory of supersonic cooling to calculate the parallel temperature of the seeded gas, in the limit of high dilution. The theoretical result thus obtained is in good agreement with ourobservations.Comment: 01 june 200

Studies on energy transformation in the freshwater snail Pila globosa 1. Influence of feeding rate

The effects of eleven chosen feeding levels ranging from 0 to 198 mg damp dry (plant) Ceratophyllumlg live snail /day on the absorption, conversion and metabolism of the snail Pi/a globosa (of 1•9 g body weight) have been studied. Absorption rates increased from 3•0 to 21•0 mg dry food /g live snail/day in snails fed 3-4-28'8 mg dry food/ g live snail/day. In these snails, absorption efficiency decreased from 87•5 to 73•0 %

Free energy barrier for melittin reorientation from a membrane-bound state to a transmembrane state

An important step in a phospholipid membrane pore formation by melittin antimicrobial peptide is a reorientation of the peptide from a surface into a transmembrane conformation. In this work we perform umbrella sampling simulations to calculate the potential of mean force (PMF) for the reorientation of melittin from a surface-bound state to a transmembrane state and provide a molecular level insight into understanding peptide and lipid properties that influence the existence of the free energy barrier. The PMFs were calculated for a peptide to lipid (P/L) ratio of 1/128 and 4/128. We observe that the free energy barrier is reduced when the P/L ratio increased. In addition, we study the cooperative effect; specifically we investigate if the barrier is smaller for a second melittin reorientation, given that another neighboring melittin was already in the transmembrane state. We observe that indeed the barrier of the PMF curve is reduced in this case, thus confirming the presence of a cooperative effect

Agarose-stabilized gold nanoparticles for surface-enhanced Raman spectroscopic detection of DNA nucleosides

doi:10.1063/1.2192573 http://scitation.aip.org/getpdf/servlet/GetPDFServlet?filetype=pdf&id=APPLAB000088000015153114000001&idtype=cvips&prog=normal&doi=10.1063/1.2192573We present surface-enhanced Raman scattering (SERS) studies of DNA nucleosides using biologically benign agarose-stabilized gold nanoparticles (AAuNP). We compare the SERS activity of nucleosides with AAuNP to that of commercially obtained citrate-stabilized gold nanoparticles and find the SERS activity to be an order of magnitude higher with AAuNP. The higher SERS activity is explained in terms of the agarose matrix, which provides pathways for the gold nanoparticles to have distinct arrangements that result in stronger internal plasmon resonances.This work was supported through the University of Missouri Research Board grants URB04-023 (S.G.) and URB03-080 (M.C. and K.V.K.), NSF under Grant No. DMR-0413601and the NCI under Grant No. IR0ICA119412-01. The gold nanoparticles were produced and supplied by the University of Missouri Nanoparticle Production Core Facility

The effect of Ku on telomere replication time is mediated by telomere length but is independent of histone tail acetylation

Peer reviewedPublisher PD

Predictive value of midtrimester universal cervical length screening based on parity

OBJECTIVES: To evaluate the effect of parity on performance characteristics of midtrimester cervical length (CL) in predicting spontaneous preterm birth (sPTB) before 37 weeks. METHODS: This was a retrospective cohort study of 13,508 women with no history of sPTB undergoing universal transvaginal CL screening at 17 to 23 weeks\u27 gestation from 2011 to 2016. Patients who declined screening or with unknown delivery outcomes were excluded. Areas under the receiver operator characteristic curves were used to assess and compare the predictive ability of CL screening for sPTB. The sensitivity, specificity, and positive and negative predictive values were estimated for specific CL cutoffs for prediction of sPTB. RESULTS: There were 20,100 patients, of whom 2087 (10%) declined screening and 4505 (22%) did not meet inclusion criteria. Of the remaining 13,508 patients, 43% were nulliparous. The incidence rates of sPTB were 6.5% in nulliparas and 4.9% in multiparas (P \u3c .001). The mean CLs were 39.9 mm in nulliparas and 41.8 mm in multiparas (P \u3c .001), and those of the first percentiles were 19.0 mm in nulliparas and 24.0 mm in multiparas. Cervical length was significantly more predictive of sPTB in nulliparas (area under the curve, 0.67; 95% confidence interval, 0.63-0.70; versus 0.61, 95% confidence interval, 0.57-0.63; P = .008). At CL cutoffs of 10, 15, 20, and 25 mm or less, the sensitivity was lower in multiparas, and the specificity was comparable between the groups. CONCLUSIONS: Midtrimester CL is less predictive of sPTB in multiparas compared to nulliparas. The poor predictive ability, especially in multiparas, calls into question the value of universal CL screening in this population