130 research outputs found
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The comparison of element partitioning in two types of thermal treatment facilities and the effects on potential radiation dose
The US Department of Energy (DOE) is performing a technical analysis to support the potential development of risk-based, numerical radiological control criteria (RCC) for mixed waste from DOE operations. As part of the technical analysis, potential future radiation doses are being calculated for workers at thermal treatment facilities and members of the public residing near such facilities. This study compared two types of thermal treatment systems: a conventional combustion chamber with excess air, represented by a rotary kiln with afterburner, and an oxygen-deficient pyrolysis unit, represented by a plasma arc furnace. The purpose of the first part of this study is to estimate the partitioning for significant radionuclides and elements in the two types of thermal treatment systems. Excess-air systems are generally found to produce heavy-metal chlorides, oxides, and sulfates; plasma-arc systems tend to produce more volatile free metals. This difference causes a change in source term dominance from halide volatility to free metal volatility. Chemical thermodynamic methodology is used to estimate partitioning in the two treatment systems. The second part of the study examines how the potential radiation dose to workers handling residue materials is affected by partitioning of radionuclides at the different types of facilities
A predictive score for retinopathy of prematurity in very low birth weight preterm infants
Aims This study describes the development of a score based on cumulative risk factors for the prediction of severe retinopathy of prematurity (ROP) comparing the performance of the score against the birth weight (BW) and gestational age (GA) in order to predict the onset of ROP.Methods A prospective cohort of preterm infants with BWp1500 g and/or GAp32 weeks was studied. the score was developed based on BW, GA, proportional weight gain from birth to the 6th week of life, use of oxygen in mechanical ventilation, and need for blood transfusions from birth to the 6th week of life. the score was established after linear regression, considering the impact of each variable on the occurrences of any stage and severe ROP. Receiver operating characteristic (ROC) curves were used to determine the best sensitivity and specificity values for the score. All variables were entered into an Excel spreadsheet (Microsoft) for practical use by ophthalmologists during screening sessions.Results the sample included 474 patients. the area under the ROC curve for the score was 0.77 and 0.88 to predict any stage and severe ROP, respectively. These values were significantly higher for the score than for BW (0.71) and GA (0.69) when measured separately.Conclusions ROPScore is an excellent index of neonatal risk factors for ROP, which is easy to record and more accurate than BW and GA to predict any stage ROP or severe ROP in preterm infants. the scoring system is simple enough to be routinely used by ophthalmologists during screening examination for detection of ROP. Eye (2012) 26, 400-406; doi: 10.1038/eye. 2011.334; published online 23 December 2011Hosp Clin Porto Alegre, Dept Ophthalmol, BR-90035903 Porto Alegre, RS, BrazilUniv Fed Rio Grande do Sul, Dept Ophthalmol, Sch Med, Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, Dept Ophthalmol, Sch Med, São Paulo, BrazilUniv Fed Rio Grande do Sul, Dept Paediat, Newborn Sect, Sch Med, Porto Alegre, RS, BrazilUniversidade Federal de São Paulo, Dept Ophthalmol, Sch Med, São Paulo, BrazilWeb of Scienc
TIMP-1 Induces an EMT-Like Phenotypic Conversion in MDCK Cells Independent of Its MMP-Inhibitory Domain
Matrix metalloproteinases (MMPs) and their endogenous inhibitors (TIMPs) regulate epithelial-mesenchymal transition (EMT) critical for the development of epithelial organs as well as cancer cell invasion. TIMP-1 is frequently overexpressed in several types of human cancers and serves as a prognostic marker. The present study investigates the roles of TIMP-1 on the EMT process and formation of the lumen-like structure in a 3D Matrigel culture of MDCK cells. We show that TIMP-1 overexpression effectively prevents cell polarization and acinar-like structure formation. TIMP-1 induces expression of the developmental EMT transcription factors such as SLUG, TWIST, ZEB1 and ZEB2, leading to downregulation of epithelial marker and upregulation of mesenchymal markers. Importantly, TIMP-1′s ability to induce the EMT-like process is independent of its MMP-inhibitory domain. To our surprise, TIMP-1 induces migratory and invasive properties in MDCK cells. Here, we present a novel finding that TIMP-1 signaling upregulates MT1-MMP and MMP-2 expression, and potentiates MT1-MMP activation of pro-MMP-2, contributing to tumor cell invasion. In spite of the fact that TIMP-1, as opposed to TIMP-2, does not interact with and inhibit MT1-MMP, TIMP-1 may act as a key regulator of MT1-MMP/MMP-2 axis. Collectively, our findings suggest a model in which TIMP-1 functions as a signaling molecule and also as an endogenous inhibitor of MMPs. This concept represents a paradigm shift in the current view of TIMP-1/MT1-MMP interactions and functions during cancer development/progression
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Intraocular Ceftazidime as an Alternative to the Aminoglycosides in the Treatment of Endophthalmitis
Approximately 85% of bacterial endophthalmitis cases are caused by gram-positive organisms, and treatment with intraocular vancomycin hydrochloride offers excellent coverage with a relatively low potential for retinal toxic effects. The antibiotic of choice for gram-negative coverage remains controversial because of the reported infrequent cases of macular infarction after intraocular administration of either gentamicin sulfate or amikacin sulfate.1See also pages 45 and 48Ceftazidime is a third-generation cephalosporin with broad spectrum activity and particularly good coverage of gram-negative bacteria.2 Furthermore, its antipseudomonal activity gives it an advantage over other third-generation cephalosporins.2 Its use as an intraocular antibiotic has been recently investigated.3 We report the results of 13 cultureproven cases of microbial endophthalmitis treated with a combination of intraocular ceftazidime (2.25 mg), vancomycin hydrochloride (1 mg), and dexamethasone sodium phosphate (0.4 mg) via separate syringes (Table). REPORT OF CASES. Of the 13 cases of microbial endophthalmitis, si
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