A TWO-DIMENSIONAL THERMODYNAMIC MODEL TO PREDICT HEART THERMAL RESPONSE DURING OPEN CHEST PROCEDURES

In this work, the temperature distribution of the heart in an open chest surgery scenario is studied. It is also evaluated the cardiac thermal effects of the injection of a cooling liquid in the aorta root, which is used in infrared thermography. The finite element method was used to develop a model that predicts the temperature distribution modification in a 2-dimensional slice of the heart. This thermodynamic model allows the computational simulation of the thermal cardiac response to open chest procedures, which are required by cardiac surgery. The influence of several operating parameters (e.g., coronary flow rate, temperature) on the resulting thermal distribution is analyzed. Therefore, this analysis allows the identification of parameters that could be controlled to minimize the loss of energy, and consequently, avoiding the hazardous thermal distribution that could put the heart in danger during cardiac surgery

INFRARED IMAGING AND COMPUTERIZED TOMOGRAPHY IN BREAST CANCER: CASE STUDY

This work presents a case study of a 75-year-old woman breast withcancer. The investigation process used infrared image, mammography,computerized tomography (CT) and ultrasound guided biopsy toassess, stage and final diagnostic of the tumor. Each one of theseevaluations brings an isolated piece of information that results in thecorrect diagnostic, and treatment. As early diagnostic of breast cancergoes towards improvement in diagnostics and better therapeutics, it isreasonable to state that breast cancer diagnostics must be achieved asearly as possible. An association between infrared image abnormalitiesand computerized tomography is acknowledged and is assumed that acorrelation could exist. The technical literature demonstrated thattumor depth could be inferred from infrared images, but criticalinformation such as breast perfusion for accurate predictions are notavailable yet. Considering that a mathematical model could modelbreast perfusion, this study proposes that tumor morphology and depthin breast cancer could be adequately determined using mathematicalmodeling, infrared imaging, and computerized tomography incomplementary actions

SURGERY BY INFRARED VISION

This paper is about the development, uses and advantages of infrared thermography. Its principles had already been used by old civilizations as a manner of diseases diagnosis. The discovery of the infrared waves and its heating power happened on 1800, but its use in modern Medicine as a diagnosis method was only possible because of the scientific and technological development demanded by the Great Wars, in the 20th century. Here the authors present some news and promising surgery applications

DEVELOPMENT OF AN AIR HEATING AND HUMIDIFYING SYSTEM FOR MECHANICAL VENTILATION OF INTENSIVE CARE UNIT PATIENTS

The mechanical ventilators, also named artificial ventilators, are devices used in Intensive Care Units (ICU) for clinically critical patients. The equipment provides artificial breathing for the patient, creating favorable conditions for the patient recovery. It works as a system that is connected to the electric grid and two other networks, one supplies compressed air and the other supplies pure oxygen. Inside the equipment the gases are mixed, and then warmed up and humidified to be finally delivered to the patient. The existing system for treatment of the mixture is not effective, since it delivers the breathing air to the patient out of the normal physiology recommended range, i.e., temperature ~32-34°C and relative humidity ~80-95%. The objective of this work was to develop a new air heating and humidifying system for mechanical ventilation. First, it was built an air feeding system, composed by a compressor and an electronically controlled valve to simulate an actual mechanical ventilation system in the laboratory. A device for conditioning the air (temperature and humidity) was conceived and built for treating the air feeding system output air. The results of the laboratory measurements show that the developed equipment was capable of making the breathing air to reach the recommended ranges by the normal physiology

A proposito di un caso di ricostruzione della mano mediante uso di sostituto dermico

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Soluble trivalent engagers redirect cytolytic T cell activity toward tumor endothelial marker 1.

Tumor endothelial marker 1 (TEM1) is an emerging cancer target with a unique dual expression profile. First, TEM1 is expressed in the stroma and neo-vasculature of many human carcinomas but is largely absent from healthy adult tissues. Second, TEM1 is expressed by tumor cells of mesenchymal origin, notably sarcoma. Here, we present two fully human anti-TEM1 single-chain variable fragment (scFv) reagents, namely, 1C1m and 7G22, that recognize distinct regions of the extracellular domain and possess substantially different affinities. In contrast to other, well-described anti-TEM1 binders, these fragments confer cytolytic activity when expressed as 2 <sup>nd</sup> generation chimeric antigen receptors (CARs). Moreover, both molecules selectively redirect human T cell effector functions toward TEM1 <sup>+</sup> tumor cells when incorporated into experimental soluble bispecific trivalent engagers that we term TriloBiTEs (tBs). Furthermore, systemic delivery of 1C1m-tB prevents the establishment of Ewing sarcoma tumors in a xenograft model. Our observations confirm TEM1 as a promising target for cancer immunotherapy and illustrate the prospective translational potential of certain scFv-based reagents

Detection of Synaptic Proteins in Microglia by Flow Cytometry.

A growing body of evidence indicates that microglia actively remove synapses in vivo, thereby playing a key role in synaptic refinement and modulation of brain connectivity. This phenomenon was mainly investigated in immunofluorescence staining and confocal microscopy. However, a quantification of synaptic material in microglia using these techniques is extremely time-consuming and labor-intensive. To address this issue, we aimed to quantify synaptic proteins in microglia using flow cytometry. With this approach, we first showed that microglia from the healthy adult mouse brain contain a detectable level of VGLUT1 protein. Next, we found more than two-fold increased VGLUT1 immunoreactivity in microglia from the developing brain (P15) as compared to adult microglia. These data indicate that microglia-mediated synaptic pruning mostly occurs during the brain developmental period. We then quantified the VGLUT1 staining in microglia in two transgenic models characterized by pathological microglia-mediated synaptic pruning. In the 5xFAD mouse model of Alzheimer's disease (AD) microglia exhibited a significant increase in VGLUT1 immunoreactivity before the onset of amyloid pathology. Moreover, conditional deletion of TDP-43 in microglia, which causes a hyper-phagocytic phenotype associated with synaptic loss, also resulted in increased VGLUT1 immunoreactivity within microglia. This work provides a quantitative assessment of synaptic proteins in microglia, under homeostasis, and in mouse models of disease

Presepsin: A potential biomarker of PJI? A comparative analysis with known and new infection biomarkers

There is still no "gold standard" for the diagnosis and prognosis of post-operative periprosthetic joint infection (PJI). Among serum biomarkers, an emerging molecule is presepsin, the soluble fraction of CD14, recently described in other settings as a powerful diagnostic tool to detect sepsis at different degrees of severity. The aim of this study was to investigate the diagnostic and prognostic value of presepsin in PJI. A total of 30 patients with PJI and 30 patients without PJI were enrolled. Presepsin, C-reactive protein (CRP), serum interleukin (IL)-6, triggering receptor expressed on myeloid cells 1 (TREM-1), CCL2, matrix metalloproteinase 9 (MMP-9), CD163, osteopontin (OPN), and toll-like receptor 2 (TLR2) were measured at different times after surgery. Receiver operating characteristic (ROC) curves and area under the curve (AUC) were analyzed for each biomarker. Presepsin showed greater diagnostic value than CRP and IL-6; CD163, TREM-1, and MMP-9 had very low diagnostic potential. Presepsin, OPN, CCL2, suPAR, and TLR2 all decreased significantly with increasing time of recovery after surgery in PJI patients. Presepsin can be considered a useful tool for the diagnosis and clinical monitoring of PJI and can be backed by a panel of new inflammatory markers involved in monocyte-/macrophage-mediated inflammatory responses, such as OPN, CCL2, TLR2, and suPAR

Elevated Expression of Squamous Cell Carcinoma Antigen (SCCA) Is Associated with Human Breast Carcinoma

Squamous cell carcinoma antigen (SCCA) belongs to the serine protease inhibitor (Serpin) family of proteins. Elevated expression of SCCA has been used as a biomarker for aggressive squamous cell carcinoma (SCC) in cancers of the cervix, lung, head and neck, and liver. However, SCCA expression in breast cancer has not been investigated. Immunohistochemical analysis of SCCA expression was performed on tissue microarrays containing breast tumor tissues (n = 1,360) and normal breast epithelium (n = 124). SCCA expression was scored on a tiered scale (0-3) independently by two evaluators blind to the patient's clinical status. SCCA expression was observed in Grade I (0.3%), Grade II (2.5%), and Grade III (9.4%) breast cancers (p<0.0001). Comparing tissues categorized into the three non-metastatic TNM stages, I-III, SCCA positivity was seen in 2.4% of Stage I cancers, 3.1% of Stage II cancers, and 8.6% of Stage III breast cancers (p = 0.0005). No positive staining was observed in normal/non-neoplastic breast tissue (0 out of 124). SCCA expression also correlated to estrogen receptor/progesterone receptor (ER/PR) double-negative tumors (p = 0.0009). Compared to SCCA-negative patients, SCCA-positive patients had both a worse overall survival and recurrence-free survival (p<0.0001 and p<0.0001, respectively). This study shows that SCCA is associated with both advanced stage and high grade human breast carcinoma, and suggests the necessity to further explore the role of SCCA in breast cancer development and treatment