Perspectives For Target Therapy In The Treatment Of Malignant Neoplasms Of The Urinary Bladder

Етиологията, патогенезата и лечението на злокачествените новообразувания на пикочния мехур все още пораждат редица въпроси. Установени са биомаркери, показващи разлики в молекулния образ на инвазивния и неинвазивния уроепителен карцином, които са част от факторите, отговорни за големите вариации в лечението дори и при тумори с еднакъв хистологичен резултат. В момента стандартно прилаганата системна терапия включва различни цитотоксични химиотерапевтични схеми и се основава главно на хистологичната оценка и стадирането на тумора. От май 2016 г. за първи път се разреши прилагането на прицелна терапия при лечение на онкологични зболявания на пикочен мехур. Прицелната терапия се използва за спиране на растежа и разпространението на раковите клетки, посредством потискане на активирани сигнални пътища - най-често на фибробластния, епидермалния и ендотелния растежен фактор. Изборът на „правилното` лекарство се базира до голяма степен върху молекулно-генетичната диагноза на тумора и наличие на специфични биомаркери, показващи възможността за прилагане на едно или друго лекарство.През последните години е постигнат значителен напредък в ерата на молекулната диагностика и прицелната терапия, което неминуемо води до удължаване на преживяемостта на онкопоциентите и подобряване качеството им на живот. В тази статия ние разглеждаме потенциалните и съществуващите възможности за приложение на прецизирана терапия при пациенти с уроепителни тумори.The etiology, pathogenesis and treatment of malignant neoplasms of the bladder still address a number of issues. Several biomarkers have been identified showing differences in the molecular image of invasive and non-invasive uroepithelial carcinoma. These biomarkers are part of the factors responsible for the large variation in treatment even in tumors with the same histological diagnosis. Currently, standard systemic therapy includes various cytotoxic chemotherapy regimens and is based mainly on histological evaluation and tumor progression. Since May 2016, target therapy has been approved for the first time in the treatment of oncological bladder disease. Target therapy is used to stop the growth and spread of cancer cells by suppressing activated signaling pathways - most often fibroblast, epidermal and endothelial growth factor pathways. The choice of „ the right` drug is largely based on the molecular genetic diagnosis of the tumor and the presence of specific biomarkers indicating the applicability of one or another drug.Significant progress has been made in the era of molecular diagnosis and target therapy, which leads to prolonged survival and improved quality of life of oncology patients. In this article, we examine the potential and existing options for the use of precision therapy in patients with uroeptithelial tumors

Priapism in an otherwise healthy man with SARS-COV-2: case report and literature review

COVID-19 disease causes acute respiratory infection – pneumonia. It is associated with an increased risk of complications such as hypercoagulopathy, which leads to thromboses. We present a case of a young man presenting with typical SARS-CoV-2 symptoms (fever, cough, fatigue, and dyspnea), who experienced ischemic priapism, most probably due to thrombosis of penile vessels caused by the novel coronavirus infection. After prompt treatment of the priapism with punctures and irrigation, lasting penile detumescence was achieved. However, despite younger age, lack of serious comorbidities and administration of anticoagulants, priapism was followed by a fatal pulmonary embolism some days later

Neonatal urinoma associated with ascites in a newborn with a solitary kidney

Fetal urinomas are often diagnosed in prenatal ultrasonography. The etiology is usually an obstructive uropathy leading to hydronephrosis and increased intrarenal pressure putting future kidney function at risk. Rupture of pyelocaliceal system in such cases may lead to retroperitoneal urinoma or urinary ascites, sepsis, uraemia, and acute renal failure. On the other hand, this may serve as “pop-off valve” mechanism decreasing intrarenal pressure and protecting from definitive kidney function loss. We present a case of a newborn girl with a retroperitoneal urinoma, ascites, uraemia, and obstruction of a solitary right kidney, which was successfully treated minimally invasively through peritoneal and retroperitoneal drainage and intubation of the right ureter with a DJ stent shortly after birth

Technological quality traits phenotyping of Camelina across multienvironment trials

Camelina (Camelina sativa [L.] Crtz.) is an oilseed crop of the Brassicaceae family. It represents revived crops, which was reintroduced to contribute in diversification of the used crops. Field trials were set in a total of five different locations across four years in which in Serbia (2015/2016, 2016/2017, 2017/2018, 2018/2019) and in Austria (2016/2017). In all samples, 12 different environments were processed. Analysis of the distributions of environments for oil content, which mirrored protein content, using the PCA analysis, shows a statistical significance of the first two main components, which participated in the phenotypic variation with a larger amount to additive component and with both axes having a statistically significant effect on the interaction. The first two main components jointly explained more than 80% of the variation in two traits. The statistical significance of the remainder is a consequence of an agronomically explicable variation. The genotypes NS Zlatka and NS Slatka, used in this study, come from elite breeding material that is engineered to provide a consistent return to the producer regardless of the amount of money invested in primary agricultural production. Incorporating these varieties into the crop rotation would broaden the range of species available in Balkan agriculture

A new doubly discrete analogue of smoke ring flow and the real time simulation of fluid flow

Modelling incompressible ideal fluids as a finite collection of vortex filaments is important in physics (super-fluidity, models for the onset of turbulence) as well as for numerical algorithms used in computer graphics for the real time simulation of smoke. Here we introduce a time-discrete evolution equation for arbitrary closed polygons in 3-space that is a discretisation of the localised induction approximation of filament motion. This discretisation shares with its continuum limit the property that it is a completely integrable system. We apply this polygon evolution to a significant improvement of the numerical algorithms used in Computer Graphics.Comment: 15 pages, 3 figure

Yield-related traits of 20 spring camelina genotypes grown in a multi-environment study in Serbia

Camelina sativa (L.) Crantz is one of the oldest oilseed crops in Europe. Over the last twenty years, it has reemerged as a very promising alternative oilseed crop. Camelina has broad environmental adaptability, a wide range of resistances to pests and diseases, low-input requirements, and multiple industrial and feed applications exist for its seed oil and meal. In a multi-environment study conducted in Serbia, seven yield-related traits, including plant height (PH), height to the first branch (HFB), number of lateral branches (NLB), number of seed capsules per plant (NSCP), number of seeds per plant (NSP), mass of seeds per plant (MSP), and the total percentage of oil in the seed (TPOS), were analyzed in 20 spring camelina accessions. The combination of two years, two locations, and two sowing dates (autumn and spring) resulted in eight different environments across which the performance of the accessions was evaluated. The aims of the study were (a) to provide a phenotypic characterization and performance evaluation of the camelina accessions, (b) to identify correlations between the selected traits, and (c) to determine the effect of environmental factors on the traits. Environments contributed to the largest proportion in the total variance, explaining approximately 90% of the variance for all traits, except for NLB (70.96%) and TPOS (42.56%). The additive main effects and multiplicative interaction model (AMMI) showed that the weather conditions, and seeding dates were the most influential environmental factor. Location had a minor to moderate effect on the investigated traits. Lines CK3X-7 and Maksimir had the highest seed yields, and CK2X–9 and CJ11X–43 had the highest seed oil contents. All four lines had good adaptability and yield stability, making them the most suitable candidates for cultivation in the environmental conditions of Serbia in southeastern Europe. The present results reveal a potential for developing higher-yielding camelina cultivars with increased seed oil content and improved adaptability to various environmental conditions.Supplementary Materials: [https://www.mdpi.com/article/10.3390/agronomy11050858/s1

Phenotypic variability of wheat and environmental share in soil salinity stress [3S] conditions

Through choosing bread wheat genotypes that can be cultivated in less productive areas, one can increase the economic worth of those lands, and increase the area under cultivation for this strategic crop. As a result, more food sources will be available for the growing global population. The phenotypic variation of ear mass and grain mass per ear, as well as the genotype × environment interaction, were studied in 11 wheat (Triticum aestivum L.) cultivars and 1 triticale (Triticosecale W.) cultivar grown under soil salinity stress (3S) during three vegetation seasons. The results of the experiment set on the control variant (solonetz) were compared to the results obtained from soil reclaimed by phosphogypsum in the amount of 25 t × ha−1 and 50 t × ha−1. Using the AMMI analysis of variance, there was found to be a statistically significant influence of additive and nonadditive sources of variation on the phenotypic variation of the analyzed traits. Although the local landrace Banatka and the old variety Bankut 1205 did not have high enough genetic capacity to exhibit high values of ear mass, they were well-adapted to 3S. The highest average values of grain mass per ear and the lowest average values of the coefficient of variation were obtained in all test variants under microclimatic condition B. On soil reclaimed by 25 t × ha−1 and 50 t × ha−1 of phosphogypsum, in microclimate C, the genotypes showed the highest stability. The most stable genotypes were Rapsodija and Renesansa. Under 3S, genotype Simonida produced one of the most stable reactions for grain mass per ear

New technologies in achieving heat and drought resilient oilseed production, the case of camelina

Camelina [Camelina sativa (L.) Crantz] also known as “false flax” or “gold of pleasure”, is a self-pollinated, annual oilseed that belongs to the Brassicaceae family. Camelina is native species of Eurasia, which is gaining interest world-wide due to its better cold, heat and drought tolerance, and less susceptibility to disease and pests than oilseed rape. The most of research work on camelina has been carried out in northern America and continental Europe. Consequently, there are not many data on evaluation of suitability of camelina genotypes for cultivation in southern Europe. Two breeding groups (IFVCNS and BOKU) and one group focusing on the agronomy development of the crop (DISTAL) just recently started research activities focusing on development of new genotypes more adapted for southern regions of Europe and evaluation of their productivity in these, more arid regions.The poster for this abstract is available here [http://fiver.ifvcns.rs/handle/123456789/2259

Primary renal echinococcosis – a rare location of hydatid disease

Hydatid disease is a condition affecting mainly the liver or, to a lesser extent, the lungs. We present an uncommon case of a primary renal echinococcosis in a young man complaining of intermittent hematuria, dull flank pain, and palpable mass in the left lumbar and lateral abdominal area which increases its size over time. After initial self-treatment with painkillers and antibiotics, the patient was referred to a urological clinic, where the physical examination revealed a large tumour mass in the left kidney. Ultrasound showed a large multilocular renal cyst, with a CT highly suspicious for renal echinococcosis (15×12.8×24.2 cm). Serological tests confirmed presence of IgG against Echinococcus. The patient was operated using the lumbar approach and nephrectomy was performed. The man recovered completely after surgery without the need for further treatment

Surgical treatment of urethral stricture disease – the earlier, the better

Introduction: Surgical treatment of urethral strictures is a constantly evolving process. There are various treatment options like internal urethrotomy (IUT) and open surgery. A variety of techniques for urethral reconstruction are available (grafts, flaps, and excision-reanastomosis). Functional results of urethral reconstructive surgery are very satisfying and with low rate of complications.Aim: We assessed the early open surgical reconstruction in comparison with the continuation with the endourological treatment – IUTs.Materials and methods: The study included 129 patients with urethral strictures referred to our center. At that time point, they had received two unsuccessful IUTs and were divided into two groups – consecutive IUT and surgical repair, which included excision and reanastomosis or augmented urethroplasty. These patients were evaluated at 12 months using urethrography and uroflowmetry. Sexual function was evaluated using the international index of erectile function questionnaire 5-IIEF. Chi-squared test for statistical analysis was used.Results: Successful outcomes (urethrography presented equal caliber and Qmax was >15 ml/sec 12 months after the procedure) were achieved in 59 (88%) of the patients using reconstructive surgery versus 26 (41.9%) of the patients with consecutive IUT (p<0.001). Mild sexual dysfunction was reported by 12 (17.9%) patients from the group with open surgery and 7 (11.3%) from the group with continuous IUT (p=0.289).Conclusions: Early open surgery seems a reasonable solution to the problem of urethral strictures as there are only a few complications from this surgery and the functional results are satisfactory. The success rate using open surgery was found to be significantly greater than that in the consecutive IUT group, whereas no differences in the complication rates regarding sexual function were observed