Reduced gene expression of bikunin as a prognostic marker for renal cell carcinoma

Aim: Experimental and clinical studies showed that bikunin, a Kunitz-type protease inhibitor, found in urine and amniotic fluid has a role in spread of tumor cells by providing a significant reduction in the levels of urokinase-type plasminogen activator (uPA) and its specific receptor urokinase-type plasminogen activator receptor (uPAR). The aim of this study was to investigate expression of bikunin at the mRNA level and screen for mutations in exon sequence in renal cell carcinoma (RCC) tissues. Materials and Methods: Total RNA and DNA were extracted from paired normal and tumor tissues of total 50 RCC (11 papillary, 8 chromophobe, 26 clear cell, and 5 other types) patients (23 females, mean age: 53.55 ± 14.17; 27 males mean age: 62.1 ± 7.92). Bikunin mRNA levels were detected using semi-quantitative reverse transcription-polymerase chain reaction (RT-PCR). Mutational screening was performed by using single strand conformation polymorphism (SSCP) method and nucleotide sequence analysis. Results: There was a statistically significant decrease in the 25 (50%) of tumor tissues comparing to normal tissues in terms of mRNA levels of bikunin (Wilcoxon signed rank test, p = 0.0337). According to the classification based on subtypes of RCC; clear cell RCC samples displayed a reduced gene expression (p = 0.0148). Additionally, the patients with the age above 50 had low bikunin expression. The SNP rs80057939 spanning 4th exon of bikunin was detected in 13 tumor tissues. However, it was not statistically significant (p > 0.05). Conclusion: Decreased bikunin mRNA level in renal cells might be associated with poor prognosis of renal carcinoma. Therefore, gene constructs or exogenous administration of bikunin might be a potential adjuvant therapy for RCC treatment. Key Words: Bikunin, nucleotide sequence analysis, prognostic marker, renal cell carcinoma, semi-quantitative RT-PCR

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Effect of mineral nutritional status on shoot-root partitioning of photoassimilates and cycling of mineral nutrients

Mineral nutrients taken up by the roots are, as a rule, transported in the xylem to the shoot, and photoassimilates transported in the phloem to the roots. According to the Thornley model of photosynthate partitioning, nutrient deficiencies should favour photosynthate partitioning to the roots. Examples are cited to show that this preferential partitioning is dependent on phloem mobility and hence on nutrient cycling from shoot to roots. Thus, root growth is enhanced under nitrogen and phosphorus deficiencies, but not under deficiencies of nutrients of low mobility in the phloem, such as calcium and boron. Enhanced root growth under nutrient deficiency relies on the import of both photosynthates and mineral nutrients. Cycling of mineral nutrients serves a number of other functions. These include the root supply of nutrients assimilated in the shoot (nitrate and sulphate reduction), maintenance of cation-anion balance in the shoot, providing an additional driving force for solute volume flow in the phloem and xylem, and acting as a shoot signal to convey nutrient demand to the root. Cycling of certain mineral nutrients through source leaves has a considerable impact on photosynthate export as demonstrated in impaired export under magnesium, potassium, or zinc deficiencies. Mineral nutrient deficiency can, therefore, affect photosynthate partitioning either directly via phloem loading and transport or indirectly by depressing sink demand. © Oxford University Press 1996

Dermatoglyphic analyses in children with cerebral palsy

This study was intended to elucidate the diagnostic values of dermatoglyphic features on the 45 cerebral palsy (CP) patients (28 boys and 17 girls). There were 50 healthy children in the control group. Dermatoglyphic samples were obtained from the both groups by using the paper and ink method and than analysed. The types of dermal patterns of fingertips, the counts of total ridges, the counts of a-b ridges, the values of atd angles, presence or absence of dermal patterns in the hypothenar, thenar / I, II, III, IV interdigital areas, presence or absence of the palmar flexion lines, were compared between the children with CP and control group. It was found that arch, radial loop, whorl prints have increased and ulnar print has decreased in boys investigated which was significant statistically (p0.05). The total ridge counts in boys and girls of the investigation group were found significantly decreasing according to the control group (p0.05). The values of atd angles of the investigation group have increased in the control group (p0.05). In conclusion, remarkable differences in comparison to controls were found in the dermatoglyphic features of CP cases. In our opinion, by undertaking more studies on the subject and examining a higher number of cases it will be possible to obtain useful data in CP cases indicative of etiologically

Colloid retention at the meniscus-wall contact line in an open microchannel

PubMedID: 22130000Colloid retention mechanisms in partially saturated porous media are currently being researched with an array of visualization techniques. These visualization techniques have refined our understanding of colloid movement and retention at the pore scale beyond what can be obtained from breakthrough experiments. One of the remaining questions is what mechanisms are responsible for colloid immobilization at the triple point where air, water, and soil grain meet. The objective of this study was to investigate how colloids are transported to the air-water-solid (AWS) contact line in an open triangular microchannel, and then retained as a function of meniscus contact angle with the wall and solution ionic strength. Colloid flow path, meniscus shape and meniscus-wall contact angle, and colloid retention at the AWS contact line were visualized and quantified with a confocal microscope. Experimental results demonstrated that colloid retention at the AWS contact line was significant when the meniscus-wall contact angle was less than 16°, but was minimal for the meniscus-wall contact angles exceeding 20°. Tracking of individual colloids and computational hydrodynamic simulation both revealed that for small contact angles (e.g., 12.5°), counter flow and flow vortices formed near the AWS contact line, but not for large contact angles (e.g., 28°). This counter flow helped deliver the colloids to the wall surface just below the contact line. In accordance with DLVO and hydrodynamic torque calculations, colloid movement may be stopped when the colloid reached the secondary minimum at the wall near the contact line. However, contradictory to the prediction of the torque analysis, colloid retention at the AWS contact line decreased with increasing ionic strength for contact angles of 10-20°, indicating that the air-water interface was involved through both counter flow and capillary force. We hypothesized that capillary force pushed the colloid through the primary energy barrier to the primary minimum to become immobilized, when small fluctuations in water level stretched the meniscus over the colloid. For large meniscus-wall contact angles counter flow was not observed, resulting in less colloid retention, because a smaller number of colloids were transported to the contact line. © 2011 Elsevier Ltd.National Science Foundation: 2006-0635954 2008-35102-04462, 2005-03929 United States - Israel Binational Agricultural Research and Development Fund: IS-3962-07This research was supported by funding from the USDA-National Research Initiative (project 2005-03929 and 2008-35102-04462), Binational Agricultural Research and Development Fund, Project No. IS-3962-07, and the National Science Foundation (project 2006-0635954). The authors acknowledge the expert guidance of Carol Bayles, the manager of the Cornell University Biotechnology Center’s Microscopy and Imaging Facility. Appendi

Axillary surgery after neoadjuvant therapy in initially node-positive breast cancer: international EUBREAST survey

Background There is no consensus on axillary management after neoadjuvant therapy (NAT) in patients with clinically node-positive (cN+) breast cancer. To investigate current clinical practice, an international survey was conducted among breast surgeons and radiation oncologists. The aim of the first part of the survey was to provide a snapshot of international discrepancies regarding axillary surgery in this context. Methods The European Breast Cancer Research Association of Surgical Trialists (EUBREAST) developed a web-based survey containing 39 questions describing clinical scenarios in the setting of axillary management in patients with cN1 disease converting to ycN0 after NAT. The survey was then distributed to breast surgeons and radiation oncologists via 14 breast cancer societies between April and October 2021. Results Responses from 349 physicians in 45 countries were recorded. The most common post-NAT axillary surgery in patients with cN1 disease converting to ycN0 was targeted axillary dissection (54.2 per cent), followed by sentinel lymph node biopsy (SLNB) alone (20.9 per cent), level 1-2 axillary lymph node dissection (ALND) (18.4 per cent), level 1-3 ALND (4 per cent), and targeted lymph node biopsy (2.5 per cent). For SLNB alone, dual tracers were most commonly used (62.3 per cent). Management varied widely in patients with ambiguous axillary status before initiation of treatment or a residual metastatic burden in the axilla after NAT. In patients with ycN+ tumours, ALND was the preferred surgical approach for 66.8 per cent of respondents. Conclusion These results highlight the wide heterogeneity in surgical approaches to the axilla after NAT. To standardize the guidelines, further data from clinical research are urgently needed, which underlines the importance of the ongoing AXSANA (EUBREAST-3) study.Several discrepancies in the surgical approach to the axilla in patients with cN+ disease converting to ycN0 exist. The most common axillary surgical approaches in patients with cN1 tumours converting to ycN0 are targeted axillary dissection (TAD) and sentinel lymph node biopsy. In targeted lymph node biopsy/TAD, there was a wide heterogeneity with regard to localization techniques

Axillary surgery after neoadjuvant therapy in initially node-positive breast cancer: international EUBREAST survey

Background There is no consensus on axillary management after neoadjuvant therapy (NAT) in patients with clinically node-positive (cN+) breast cancer. To investigate current clinical practice, an international survey was conducted among breast surgeons and radiation oncologists. The aim of the first part of the survey was to provide a snapshot of international discrepancies regarding axillary surgery in this context. Methods The European Breast Cancer Research Association of Surgical Trialists (EUBREAST) developed a web-based survey containing 39 questions describing clinical scenarios in the setting of axillary management in patients with cN1 disease converting to ycN0 after NAT. The survey was then distributed to breast surgeons and radiation oncologists via 14 breast cancer societies between April and October 2021. Results Responses from 349 physicians in 45 countries were recorded. The most common post-NAT axillary surgery in patients with cN1 disease converting to ycN0 was targeted axillary dissection (54.2 per cent), followed by sentinel lymph node biopsy (SLNB) alone (20.9 per cent), level 1-2 axillary lymph node dissection (ALND) (18.4 per cent), level 1-3 ALND (4 per cent), and targeted lymph node biopsy (2.5 per cent). For SLNB alone, dual tracers were most commonly used (62.3 per cent). Management varied widely in patients with ambiguous axillary status before initiation of treatment or a residual metastatic burden in the axilla after NAT. In patients with ycN+ tumours, ALND was the preferred surgical approach for 66.8 per cent of respondents. Conclusion These results highlight the wide heterogeneity in surgical approaches to the axilla after NAT. To standardize the guidelines, further data from clinical research are urgently needed, which underlines the importance of the ongoing AXSANA (EUBREAST-3) study.Several discrepancies in the surgical approach to the axilla in patients with cN+ disease converting to ycN0 exist. The most common axillary surgical approaches in patients with cN1 tumours converting to ycN0 are targeted axillary dissection (TAD) and sentinel lymph node biopsy. In targeted lymph node biopsy/TAD, there was a wide heterogeneity with regard to localization techniques