Breast cancer analysis by confocal energy dispersive micro-XRD

In this work, the confocal energy dispersive micro-XRD technique has been employed to efficiently study differences between normal and malignant carcinomas in breast tissues. This technique has been implemented with low angular divergence glass monocapillaries in the excitation and detection channels. The microdiffractometer operates with a scattering angle of (20.3 ± 0.9)° that defines a cross section for analysis (0.178 mm × 0.175 mm), with a depth resolution of 1.18 mm. The obtained momentum transfer resolution between 3.9 and 10.9% was found to be highly useful to identify the scattering profiles of adipose tissues without any data processing. Differentiation between tissues with similar scattering profiles, such as fibroglandular and neoplastic tissues, has been achieved by processing the spectra within the framework of diffraction theory for scattering intensity. The obtained results allowed the development of a deterministic diagnostic model based on the evaluation of the depth profiles by confocal micro-XRD. In this model, the modulation of the scattering profiles caused by X-ray attenuation was analyzed to differentiate neoplastic tissues. The spatial resolution of the technique was the key aspect of the process, helping to detect variations in X-ray attenuation and to select uniform volume of analysis without superimposed scattering profiles.Fil: Escudero, Rodrigo Oscar. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Física Enrique Gaviola. Universidad Nacional de Córdoba. Instituto de Física Enrique Gaviola; ArgentinaFil: Cabral, María C.. Hospital Provincial Maternal Dr. Felipe Lucini; ArgentinaFil: Valladares, Mariana. Hospital Provincial Maternal Dr. Felipe Lucini; ArgentinaFil: Franco, María A.. Hospital Provincial Maternal Dr. Felipe Lucini; ArgentinaFil: Perez, Roberto Daniel. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Física Enrique Gaviola. Universidad Nacional de Córdoba. Instituto de Física Enrique Gaviola; Argentin

The origin of the Acheulean: the 1.7 million-year-old site of FLK West, Olduvai Gorge (Tanzania)

The appearance of the Acheulean is one of the hallmarks of human evolution. It represents the emergence of a complex behavior, expressed in the recurrent manufacture of large-sized tools, with standardized forms, implying more advance forethought and planning by hominins than those required by the precedent Oldowan technology. The earliest known evidence of this technology dates back to c. 1.7 Ma. and is limited to two sites (Kokiselei [Kenya] and Konso [Ethiopia]), both of which lack fauna. The functionality of these earliest Acheulean assemblages remains unknown. Here we present the discovery of another early Acheulean site also dating to c. 1.7 Ma from Olduvai Gorge. This site provides evidence of the earliest steps in developing the Acheulean technology and is the oldest Acheulean site in which stone tools occur spatially and functionally associated with the exploitation of fauna. Simple and elaborate large-cutting tools (LCT) and handaxes co-exist at FLK West, showing that complex cognition was present from the earliest stages of the Acheulean. Here we provide a detailed technological study and evidence of the use of these tools on the butchery and consumption of fauna, probably by early Homo erectus sensu lato

AVOCADO: A Virtual Observatory Census to Address Dwarfs Origins

Dwarf galaxies are by far the most abundant of all galaxy types, yet their properties are still poorly understood -especially due to the observational challenge that their intrinsic faintness represents. AVOCADO aims at establishing firm conclusions on their formation and evolution by constructing a homogeneous, multiwavelength dataset for a statistically significant sample of several thousand nearby dwarfs (-18 < Mi < -14). Using public data and Virtual Observatory tools, we have built GALEX+SDSS+2MASS spectral energy distributions that are fitted by a library of single stellar population models. Star formation rates, stellar masses, ages and metallicities are further complemented with structural parameters that can be used to classify them morphologically. This unique dataset, coupled with a detailed characterization of each dwar's environment, allows for a fully comprehensive investigation of their origins and to track the (potential) evolutionary paths between the different dwarf types.Comment: 4 pages, 1 figure. To appear in the proceedings of IAU Symposium 277, "Tracing the Ancestry of Galaxies on the Land of our Ancestors", Carignan, Freeman, and Combes, ed

Understanding Scanning Tunneling Microscopy Contrast Mechanisms on Metal Oxides: A Case Study

Cataloged from PDF version of article.A comprehensive analysis of contrast formation mechanisms in scanning tunneling microscopy (STM) experiments on a metal oxide surface is presented with the oxygen-induced (2√2 √2)R45 missing row reconstruction of the Cu(100) surface as a model system. Density functional theory and electronic transport calculations were combined to simulate the STM imaging behavior of pure and oxygen-contaminated metal tips with structurally and chemically different apexes while systematically varying bias voltage and tip sample distance. The resulting multiparameter database of computed images was used to conduct an extensive comparison with experimental data. Excellent agreement was attained for a large number of cases, suggesting that the assumed model tips reproduce most of the commonly encountered contrast-determining effects. Specifically, we find that depending on the bias voltage polarity, copper-terminated tips allow selective imaging of two structurally distinct surface Cu sites, while oxygenterminated tips show complex contrasts with pronounced asymmetry and tip sample distance dependence. Considering the structural and chemical stability of the tips reveals that the copper-terminated apexes tend to react with surface oxygen at small tip sample distances. In contrast, oxygenterminated tips are considerably more stable, allowing exclusive surface oxygen imaging at small tip sample distances. Our results provide a conclusive understanding of fundamental STM imaging mechanisms, thereby providing guidelines for experimentalists to achieve chemically selective imaging by properly selecting imaging parameters

Are histological alterations observed in the gallbladder precancerous lesions?

INTRODUCTION: Gallbladder cancer, which is characterized by rapid progression and a poor prognosis, is a complex disease to treat. Unfortunately, little is known currently about its etiology or pathogenesis. A better understanding of its carcinogenesis and determining risk factors that lead to its development could help improve the available treatment options. METHOD: Based on this better understanding, the histological alterations (such as acute cholecystitis, adenomyomatosis, xanthogranulomatous cholecystitis, polyps, pyloric metaplasia, intestinal metaplasia, dysplasia, cancer and others) in gallbladders from 1,689 patients who underwent laparoscopic cholecystectomy for cholecystolithiasis were analyzed. The association of these gallbladder histological alterations with clinical data was studied. RESULTS: Gender analysis revealed a greater incidence of inflammatory changes in males, while dysplasia and cancer were only found in women. The incidence of cholesterolosis was greater in the patients 60 years of age and under, and the incidence of adenomyomatosis and gangrene was greater in the elderly patients. A progressive increase in the average age was observed as alterations progressed through pyloric metaplasia, intestinal metaplasia, dysplasia and then cancer, suggesting that the metaplasia-dysplasia-carcinoma sequence may occur in gallbladder cancer. Gallbladder histological alterations were also observed in asymptomatic patients. CONCLUSION: The results of this study suggest that there could be an association between some histological alterations of gallbladder and cancer, and they also suggest that the metaplasia-dysplasia-carcinoma sequence could in fact be true in the case of gallbladder cancer. Nevertheless, further studies directed towards a perfect understanding of gallbladder carcinogenesis are required

Anal manometric evaluation of children with encopresis

INTRODUÇÃO: A constipação crônica é doença comum na infância, ocorrendo em 5 a 10% dos pacientes pediátricos, considerada a segunda maior causa de procura nos consultórios de pediatria, sendo a encoprese decorrente de constipação grave associada à impactação fecal no reto. Dentre os exames diagnósticos, a manometria anal é utilizada para a avaliação de pacientes com distúrbios funcionais, como a constipação intestinal e a incontinência fecal, em alguns serviços para a avaliação de pacientes com encoprese, pois pode trazer informações sobre o mecanismo evacuatório e possíveis lesões esfincterianas anais. OBJETIVO: Verificar alterações manométricas em pacientes com encoprese. MÉTODOS: Foi realizado estudo de 40 manometrias anais de crianças constipadas com encoprese (G1) e 12 crianças constipados sem encoprese (G2). Foram obtidos os seguintes dados: pressões de repouso, contração e evacuação do canal anal e ampola retal, ponto de maior pressão, reflexo inibitório anal e sensibilidade retal. As manometrias foram realizadas com o aparelho Alacer de perfusão com 8 canais. RESULTADOS: Não foram encontradas diferenças nas pressões de repouso, contração e evacuação do canal anal entre os grupos. Chamou-nos a atenção a ausência de necessidade de maior volume retal para desencadear o reflexo inibitório anal. Não houve diferença da incidência de anismus entre os dois grupos, demonstrando que não se trata de fator importante na manutenção da encoprese, mas sim da constipação. CONCLUSÃO: Não houve necessidade de maior volume para desencadear o reflexo inibitório anal. O anismus não foi diferente entre os dois grupos, não sendo importante na manutenção da encoprese.INTRODUCTION: Chronic constipation is a common childhood disorder that affects 5 to 10% of pediatric patients, being the second most common cause for seeking medical help, with the encopresis arising out of severe constipation being associated with fecal impaction in the rectum. Among diagnostic exams, anal manometry is used to evaluate patients with functional disorders such as constipation and fecal incontinence, and in some procedures for the evaluation of patients suffering from encopresis, as it provides information on the defecation mechanism and any potential anal sphincter injuries. OBJECTIVE: To verify manometric alterations in patients with encopresis. METHODS: A study was conducted based on 40 anal manometries of constipated children with encopresis (G1) and 12 constipated children without encopresis (G2). The following data were obtained: pressure at rest, contraction and evacuation of the anal canal and the rectal ampulla, point of highest pressure, anal inhibitory reflex and rectal sensitivity. The manometries were performed with an 8-channel perfusion device manufactured by Alacer. DISCUSSION: No differences were found with respect for pressures at rest, contraction and evacuation of the anal canal between groups. Our attention was drawn to the lack of need for an increased rectal volume to trigger the anal inhibitory reflex. There was no difference in the incidence of anismus between groups, which shows that it is not a relevant factor in the maintenance of the encopresis, but of constipation. CONCLUSION: An increase in rectal volume was not required to trigger the anal inhibitory reflex. Anismus was not different in the two groups, being unimportant in the maintenance of encopresis

Treatments used for obsessive-compulsive disorder-An international perspective

© 2019 John Wiley & Sons, Ltd.OBJECTIVE: The objective of this study was to characterise international trends in the use of psychotropic medication, psychological therapies, and novel therapies used to treat obsessive-compulsive disorder (OCD). METHODS: Researchers in the field of OCD were invited to contribute summary statistics on the characteristics of their samples. Consistency of summary statistics across countries was evaluated. RESULTS: The study surveyed 19 expert centres from 15 countries (Argentina, Australia, Brazil, China, Germany, Greece, India, Italy, Japan, Mexico, Portugal, South Africa, Spain, the United Kingdom, and the United States) providing a total sample of 7,340 participants. Fluoxetine (n = 972; 13.2%) and fluvoxamine (n = 913; 12.4%) were the most commonly used selective serotonin reuptake inhibitor medications. Risperidone (n = 428; 7.3%) and aripiprazole (n = 415; 7.1%) were the most commonly used antipsychotic agents. Neurostimulation techniques such as transcranial magnetic stimulation, deep brain stimulation, gamma knife surgery, and psychosurgery were used in less than 1% of the sample. There was significant variation in the use and accessibility of exposure and response prevention for OCD. CONCLUSIONS: The variation between countries in treatments used for OCD needs further evaluation. Exposure and response prevention is not used as frequently as guidelines suggest and appears difficult to access in most countries. Updated treatment guidelines are recommended.Peer reviewe