Detection of circulating tumor cells in the peripheral blood of nasopharyngeal carcinoma patients by a nested reverse transcriptase polymerase assay for cytokeratin 19 mRNA

Nasopharyngeal carcinomas (NPC) are tumors of nasopharynx origin with high rate of distance metastases after radiotherapy. Therefore, detection of micrometastasis will be an important issue in the prognostic and the choice of the systemic treatment. Our aim was early detection of circulating tumor cells in the blood of NPC patients by an RT-PCR assay for cytokeratin19 mRNA. Patients and methods used are venous blood samples obtained from 30 NPC patients with biopsy-proven NPC and 20 healthy blood donors which were tested using a previously reported assay. Identity of products was confirmed by sequencing. Results obtained show that 10 of the 30 NPC were positive for CK19 transcripts in peripheral blood, suggesting the presence of tumour epithelial cells. No CK19 positive cells were detected in the 20 healthy volunteers. Nevertheless, we encountered the problem of CK19 pseudogene interference due to genomic DNA contamination of RNA preparations. Four of the 10 positive patients were proven to have CK19 mRNA, as assessed by sequencing. In the remaining six, the presence of the CK19 pseudogene may has masked the CK19 mRNA in RT-PCR and sequencing. In conclusion, we described an improved RT-PCR assay that is sensitive and has high clinical specificity to detect minimal metastatic disease in NPC patients. Nevertheless, one should be aware about the necessity to optimize the analytical specificity of the assay.Keywords: Nasopharyngeal carcinomas, micrometastasis, cytokeratin 19, nested reverse transcriptase polymeraseAfrican Journal of Biotechnology, Vol. 13(3), pp. 378-384, 15 January, 201

Tumeur Germinale De L\'espace Para Pharynge : A Propos D\'un Cas

Les tumeurs germinales à localisation cervico-faciale sont rares. Nous rapportons l\'observation d\'une une fillette de 7 ans porteuse d\'une tumeur maligne à cellules germinales de l\'espace para-pharyngé droit traité par chimiothérapie. Les particularités étiopathogéniques, thérapeutiques, et pronostiques de cette tumeur sont rappelées après une revue des données de la littérature.Extragonadal germ cell tumors of the head and neck are very rare. We report the case of a 7-year-old girl with malignant germ cell tumor of the right parapharyngeal space treated by chemotherapy. Etiopathogenic, therapeutic, and prognostic characteristics of this tumour are recalled after a review of the literature data. Keywords: Extragonadal germ cell tumors, parapharyngeal tumors. Journal Tunisien d\'ORL et de chirurgie cervico-faciale Vol. 18 2007: pp. 61-6

A kinetic formulation for multidimensional scalar conservation laws with boundary conditions and applications

International audienceWe state a kinetic formulation of weak entropy solutions of a general multidimensional scalar conservation law with initial and boundary conditions. We first associate with any weak entropy solution a entropy defect measure; the analysis of this measure at the boundary of the domain relies on the study of weak entropy sub and supersolutions and implies the introduction of the notion of sided boundary defect measures. As a first application, we prove that any weak entropy subsolution of the initial-boundary value problem is bounded above by any weak entropy supersolution (Comparison Theorem). We next study a BGK-like kinetic model that approximates the scalar conservation law. We prove that such a model converges by adapting the proof of the Comparison Theorem

The Synthetic Pentasaccharide Fondaparinux Attenuates Myocardial Ischemia-Reperfusion Injury in Rats Via STAT-3

Acute myocardial infarction is a leading cause of mortality and morbidity worldwide. Although essential for successful recovery, myocardium reperfusion is associated with reperfusion injury. Two major cell survival signaling cascades are known to be protective against ischemia-reperfusion (I/R) injury: the reperfusion injury salvage kinase, including Akt, extracellular signal–regulated kinase 1/2, and the downstream target GSK-3β, and the survivor activating factor enhancement, which involves STAT-3. Pharmacologic inhibition of factor Xa has been shown to attenuate I/R injury, but the cellular mechanism is poorly understood. Our aim was to determine the role of whole blood in fondaparinux (FDX)-induced cardioprotection and the involvement of reperfusion injury salvage kinase and survivor activating factor enhancement pathways. We investigated FDX ability to prevent in vivo I/R injury using a transient coronary ligation rat model and ex vivo using a model of crystalloid-perfused isolated rat heart. In both models, infarct size was assessed after 120 min of reperfusion. Myocardial tissues were collected after 15 and 30 min of reperfusion for Western blot analysis. In vivo, FDX decreased infarct size by 29% and induced significant STAT-3 and GSK-3β phosphorylation in comparison to controls. Adding AG490, an inhibitor of JAK/STAT pathway, before I/R, prevented STAT-3 phosphorylation and abolished FDX-induced cardioprotection. On the contrary, FDX did not have an effect on infarct size or hemodynamic parameters in the isolated-heart model. Fondaparinux decreased I/R injury in vivo, but not in a crystalloid-perfused isolated heart. Under our experimental conditions, FDX required whole blood to be protective, and this beneficial effect was mediated through STAT-3 phosphorylation

Reviewing the use of the theory of inventive problem solving (TRIZ) in green supply chain problems

The purpose of the paper is to review the practice of the theory of inventive problem solving (TRIZ) in Green Supply Chain (GSC) problems and to identify new research challenges focusing on the question: “To what extent is it necessary to evolve TRIZ tools, methods and theoretical grounding for addressing GSC inventive problems?” First, a review of the past contributions of TRIZ based methods to GSC problem resolution is presented. As the result of the papers review did not provide a comprehensive understanding of the limitations and areas of potential application of TRIZ in GSC, three experiments were conducted to complete the literature review, in order to provide a more comprehensive answer to the posed question and identify research challenges. The experiments addressing GSC problems were also conducted to explore to what extent the more mature meta-methods of classical TRIZ, namely ARIZ 85 A, C and the related sub-methods, can be used as in GSM problems. The examples were chosen to explore types of GSC problems that were not yet addressed with TRIZ. The experiment results highlight limitations on the use of the TRIZ in GSC inventive problems, which were not mentioned in the GSC literature. Moreover it highlights the limitation of using the more mature meta-methods of TRIZ (ARIZ 85A and ARIZ 85C) when the conflict to overcome contains more than two evaluation parameters and one action parameter. Finally, research challenges to overcome the limitations and to improve the use of TRIZ in GSC inventive problems are stated. Among them, methods for quickly establishing the existence of classical TRIZ contradictions or for informing the problem solver when no TRIZ contradictions are present in a given inventive problem in GSC should be proposed. Such methods would permit determining whether ARIZ 85C could be used and avoid a long and fruitless search for a system of contradictions. Find alternatives to the algorithms proposed in the past to be able to establish the generalized contradictions of inventive problems. Make evolve meta-methods ARIZ 85C or substitute it with methods which can address the inventive problems that cannot be treated by ARIZ 85C

Incorporating the social dimension into hydrogeochemical investigations for rural development: the Bir Al-Nas approach for socio-hydrogeology

A replicable multidisciplinary approach is presented for science-based groundwater management practices: Bir Al-Nas (Bottom-up IntegRated Approach for sustainabLe grouNdwater mAnagement in rural areaS). This approach provides a practical example of the concept of “socio-hydrogeology”, a way of incorporating the social dimension into hydrogeological investigations, as reinforced by the translation of the Arabic bir al-nas: “the people’s well”. To achieve this, hydrogeologists act as “social hydrologists” during their monitoring activities, which often bring them into contact with local communities and end users (and polluters) of water. Not only can they retrieve reliable information about traditional know-how and local issues, but they can also change the public perception of science/scientists to create the basis for mutual collaboration and understanding in view of implementing improved integrated groundwater management. The final outcomes are expected to be an increased awareness of communities at the local level and a clear understanding of their water issues and needs from the very early stages of the investigation. Although the importance of using such methods in groundwater analysis and management is widely recognized, hydrogeological investigations are currently dominated by sectorial approaches that are easier to implement but less sustainable. The pressure of population growth, the shift towards more water-dependent economies, climate change and its impact on water availability will require scientists to use a more integrated approach, such as Bir Al-Nas, when dealing with increasing water pollution and water-scarcity issues.A replicable multidisciplinary approach is presented for science-based groundwater management practices: Bir Al-Nas (Bottom-up IntegRated Approach for sustainabLe grouNdwater mAnagement in rural areaS). This approach provides a practical example of the concept of "socio-hydrogeology", a way of incorporating the social dimension into hydrogeological investigations, as reinforced by the translation of the Arabic bir al-nas: "the people's well". To achieve this, hydrogeologists act as "social hydrologists" during their monitoring activities, which often bring them into contact with local communities and end users (and polluters) of water. Not only can they retrieve reliable information about traditional know-how and local issues, but they can also change the public perception of science/scientists to create the basis for mutual collaboration and understanding in view of implementing improved integrated groundwater management. The final outcomes are expected to be an increased awareness of communities at the local level and a clear understanding of their water issues and needs from the very early stages of the investigation. Although the importance of using such methods in groundwater analysis and management is widely recognized, hydrogeological investigations are currently dominated by sectorial approaches that are easier to implement but less sustainable. The pressure of population growth, the shift towards more water-dependent economies, climate change and its impact on water availability will require scientists to use a more integrated approach, such as Bir Al-Nas, when dealing with increasing water pollution and water-scarcity issues

Postoperative outcomes in oesophagectomy with trainee involvement

BACKGROUND: The complexity of oesophageal surgery and the significant risk of morbidity necessitates that oesophagectomy is predominantly performed by a consultant surgeon, or a senior trainee under their supervision. The aim of this study was to determine the impact of trainee involvement in oesophagectomy on postoperative outcomes in an international multicentre setting. METHODS: Data from the multicentre Oesophago-Gastric Anastomosis Study Group (OGAA) cohort study were analysed, which comprised prospectively collected data from patients undergoing oesophagectomy for oesophageal cancer between April 2018 and December 2018. Procedures were grouped by the level of trainee involvement, and univariable and multivariable analyses were performed to compare patient outcomes across groups. RESULTS: Of 2232 oesophagectomies from 137 centres in 41 countries, trainees were involved in 29.1 per cent of them (n = 650), performing only the abdominal phase in 230, only the chest and/or neck phases in 130, and all phases in 315 procedures. For procedures with a chest anastomosis, those with trainee involvement had similar 90-day mortality, complication and reoperation rates to consultant-performed oesophagectomies (P = 0.451, P = 0.318, and P = 0.382, respectively), while anastomotic leak rates were significantly lower in the trainee groups (P = 0.030). Procedures with a neck anastomosis had equivalent complication, anastomotic leak, and reoperation rates (P = 0.150, P = 0.430, and P = 0.632, respectively) in trainee-involved versus consultant-performed oesophagectomies, with significantly lower 90-day mortality in the trainee groups (P = 0.005). CONCLUSION: Trainee involvement was not found to be associated with significantly inferior postoperative outcomes for selected patients undergoing oesophagectomy. The results support continued supervised trainee involvement in oesophageal cancer surgery

Twenty-three unsolved problems in hydrology (UPH) – a community perspective

This paper is the outcome of a community initiative to identify major unsolved scientific problems in hydrology motivated by a need for stronger harmonisation of research efforts. The procedure involved a public consultation through on-line media, followed by two workshops through which a large number of potential science questions were collated, prioritised, and synthesised. In spite of the diversity of the participants (230 scientists in total), the process revealed much about community priorities and the state of our science: a preference for continuity in research questions rather than radical departures or redirections from past and current work. Questions remain focussed on process-based understanding of hydrological variability and causality at all space and time scales. Increased attention to environmental change drives a new emphasis on understanding how change propagates across interfaces within the hydrological system and across disciplinary boundaries. In particular, the expansion of the human footprint raises a new set of questions related to human interactions with nature and water cycle feedbacks in the context of complex water management problems. We hope that this reflection and synthesis of the 23 unsolved problems in hydrology will help guide research efforts for some years to come

withdrawn 2017 hrs ehra ecas aphrs solaece expert consensus statement on catheter and surgical ablation of atrial fibrillation

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