66 research outputs found

    SEOM clinical guideline thyroid cancer (2019)

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    Thyroid carcinoma is the most frequent endocrine malignancy and accounts for around 3% of global cancer incidence. Different histologies and clinical scenarios make necessary a multidisciplinary approach that includes new diagnostic methods and surgical, radiopharmaceutical and systemic therapies. This guideline updates several aspects of management of thyroid cancer

    Effects of the MY34/2018 Global Dust Storm as Measured by MSL REMS in Gale Crater

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    The Rover Environmental Monitoring Station (REMS) instrument is on board NASA’s Mars Science Laboratory (MSL) Curiosity rover. REMS has been measuring surface pressure, air, and ground brightness temperature, relative humidity, and ultraviolet (UV) irradiance since MSL’s landing in 2012. In Mars Year (MY) 34 (2018) a global dust storm reached Gale Crater at Ls ~ 190°. REMS offers a unique opportunity to better understand the impact of a global dust storm on local environmental conditions, which complements previous observations by the Viking landers and Mars Exploration Rovers. All atmospheric variables measured by REMS are strongly affected albeit at different times. During the onset phase, the daily maximum UV radiation decreased by 90% between sols 2075 (opacity ~1) and 2085 (opacity ~8.5). The diurnal range in ground and air temperatures decreased by 35 and 56 K, respectively, with also a diurnal-average decrease of ~2 and 4 K respectively. The maximum relative humidity, which occurs right before sunrise, decreased to below 5%, compared with prestorm values of up to 29%, due to the warmer air temperatures at night, while the inferred water vapor abundance suggests an increase during the storm. Between sols 2085 and 2130, the typical nighttime stable inversion layer was absent near the surface as ground temperatures remained warmer than near-surface air temperatures. Finally, the frequency domain behavior of the diurnal pressure cycle shows a strong increase in the strength of the semidiurnal and terdiurnal modes peaking after the local opacity maximum, also suggesting differences in the dust abundance inside and outside Gale.Key PointsAtmospheric opacity over Gale Crater was increased by more than 8 times and disturbed all the atmospheric variables measured by REMSREMS data suggest that the nighttime near-surface atmosphere stability was reduced and its water abundance increased during the GDSThe semidiurnal mode peaked after the local opacity maximum, suggesting different dust abundance inside and outside GalePeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/151294/1/jgre21177_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/151294/2/jgre21177.pd

    Diurnal Variation in Mars Equatorial Odd Oxygen Species: Chemical Production and Loss Mechanisms

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    Odd oxygen (O, O(¹D), O₃) abundance and its variability in the Martian atmosphere results from complex physical and chemical interactions among atmospheric species, which are driven mainly by solar radiation and atmospheric conditions. Although our knowledge of Mars’ ozone distribution and variability has been significantly improved with the arrival of several recent orbiters, the data acquired by such missions is not enough to properly characterize its diurnal variation. Thus, photochemical models are useful tools to assist in such a characterization. Here, both the Martian ozone vertical distribution and its diurnal variation for equatorial latitudes are studied, using the JPL/Caltech one-dimensional photochemical model and diurnally-variable atmospheric profiles. The chosen equatorial latitude-region is based on the recent and future plans of NASA and other agencies to study this region by different surface missions. A production and loss analysis is performed in order to characterize the chemical mechanisms that drive odd oxygen's diurnal budget and variability on Mars making use of the comprehensive chemistry implemented in the model. The diurnal variation shows large differences in the abundance between daytime and nighttime; and variable behavior depending on the atmospheric layer. The photolysis-driven ozone diurnal profile is obtained at the surface, whilst a sharp decrease is obtained in the upper troposphere at daytime, which originates from the large differences in atomic oxygen abundances between atmospheric layers. Finally, no clear anticorrelation between ozone and water vapor is found in the diurnal cycle, contrary to the strong correlation observed by orbiters on a seasonal timescale

    Correlation of recist, computed tomography morphological response, and pathological regression in hepatic metastasis secondary to colorectal cancer : The avamet study

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    The prospective phase IV AVAMET study was undertaken to correlate response evaluation criteria in solid tumors (RECIST)-defined response rates with computed tomography-based morphological criteria (CTMC) and pathological response after liver resection of colorectal cancer metastases. Eligible patients were aged ≥18 years, with Eastern Cooperative Oncology Group (ECOG) performance status 0/1 and histologically-confirmed colon or rectal adenocarcinoma with measurable liver metastases. Preoperative treatment was bevacizumab (7.5 mg on day 1) + XELOX (oxaliplatin 130 mg/m, capecitabine 1000 mg/m bid on days 1-14 q3w). After three cycles, response was evaluated by a multidisciplinary team. Patients who were progression-free and metastasectomy candidates received one cycle of XELOX before undergoing surgery 3-5 weeks later, followed by four cycles of bevacizumab + XELOX. A total of 83 patients entered the study; 68 were eligible for RECIST, 67 for CTMC, and 51 for pathological response evaluation. Of these patients, 49% had a complete or partial RECIST response, 91% had an optimal or incomplete CTMC response, and 81% had a complete or major pathological response. CTMC response predicted 37 of 41 pathological responses versus 23 of 41 responses predicted using RECIST (p = 0.008). Kappa coefficients indicated a lack of correlation between the results of RECIST and morphological responses and between morphological and pathological response rates. CTMC may represent a better marker of pathological response to bevacizumab + XELOX than RECIST in patients with potentially-resectable CRC liver metastases

    Putative Role of MCT1 rs1049434 Polymorphism in High-Intensity Endurance Performance: Concept and Basis to Understand Possible Individualization Stimulus.

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    Monocarboxylate transporters (MCTs) have been proposed as important mediators of the exchange between lactate (La-) producer and La- recipient (consumer) cells. Previous studies have suggested that the MCT1 A1470T genotype could be related to different physical performance phenotypes. This study followed the guidelines for Strengthening the Reporting of Genetic Association Studies (STREGA) and aimed to evaluate the distribution of the MCT1 polymorphism rs1049434 in endurance-trained athletes compared to the untrained population. Moreover, this study explored the potential influence of the polymorphism alleles phenotypes on high-intensity exercise performance. In a cross-sectional study fashion, a total of 85 triathletes from northern Spain were genotyped for MCT1 rs1049434 and compared to a control group of 107 healthy male participants (1000 Genomes Research Study for Iberian Populations in Spain). All athletes performed a 30 s Wingate all-out test (WAnT) on a cycle ergometer. Peak and mean power (absolute and relative) were measured. After verification of the Hardy-Weinberg equilibrium, the findings indicated that the MCT1 TT genotype was overrepresented in triathletes in comparison to the genotypic frequency of the general Spanish population. No significant associations were found between any MCT1 genotype and peak or mean power performance in the WAnT. Further studies are required to understand the relationship among MCT1 A1470T polymorphism, endurance-trained athletes, and high-intensity performance

    Mars Science Laboratory Observations of the 2018/Mars Year 34 Global Dust Storm

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    Mars Science Laboratory Curiosity rover observations of the 2018/Mars year 34 global/planetâ encircling dust storm represent the first in situ measurements of a global dust storm with dedicated meteorological sensors since the Viking Landers. The Mars Science Laboratory team planned and executed a science campaign lasting approximately 100 Martian sols to study the storm involving an enhanced cadence of environmental monitoring using the rover’s meteorological sensors, cameras, and spectrometers. Mast Camera 880â nm optical depth reached 8.5, and Rover Environmental Monitoring Station measurements indicated a 97% reduction in incident total ultraviolet solar radiation at the surface, 30K reduction in diurnal range of air temperature, and an increase in the semidiurnal pressure tide amplitude to 40 Pa. No active dustâ lifting sites were detected within Gale Crater, and global and local atmospheric dynamics were drastically altered during the storm. This work presents an overview of the mission’s storm observations and initial results.Plain Language SummaryThe 2018 Mars global dust storm was observed by six spacecraft in orbit and two rovers on the surface. This paper provides an overview and description of the Mars Science Laboratory Curiosity rover’s observations during the storm. For approximately 100 Martian days (sols), the rover conducted an enhanced cadence of environmental observations to study the storm. These are the first observations of a Martian global dust storm with meteorological sensors near the equator. Atmospheric opacity reached a peak of 8.5, attenuating ~97% of the total solar ultraviolet radiation at the surface. Most of the dust was sourced from outside Gale Crater, with no indications of dust lifting within the crater during the height of the storm. Meteorological conditions were substantially altered, with changes to the pressure, temperature, and humidity patterns. Dust devil activity ceased for several weeks due to the reduction in temperature contrast between the surface and atmosphere. There was no indication of unusual aeolian transport, suggesting Martian global dust storms are not a major cause of sand dune movement.Key PointsThe Curiosity rover conducted a dedicated science campaign to study the 2018 Mars global dust stormAtmospheric opacity reached a peak of 8.5, and horizontal visibility dropped to 2.7 kmMeteorological conditions in Gale Crater were substantially altered, with changes to the pressure, temperature, and humidity cyclesPeer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/147828/1/grl58365_am.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/147828/2/grl58365.pd
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