Incarcerated Vaginal Pessary: A Rare Complication

SummaryObjectiveA patient with uterine prolapse (procidentia uteri) received a vaginal pessary, which became incarcerated in the vaginal wall.Case ReportA 70-year-old female patient had been treated for uterine prolapse by insertion of a ring-shaped silicone pessary for about 3 to 4 years. The patient neglected the pessary, which unfortunately became incarcerated in the vaginal wall; it was impossible to remove. Finally, the pessary was displaced after cutting it into two pieces under general anesthesia.ConclusionAfter having inserted a vaginal pessary, patients need to be instructed on its regular removal and cleaning to prevent complications such as infection, ulceration, and incarceration

Liquid biopsy genotyping in lung cancer: ready for clinical utility?

Liquid biopsy is a blood test that detects evidence of cancer cells or tumor DNA in the circulation. Despite complicated collection methods and the requirement for technique-dependent platforms, it has generated substantial interest due, in part, to its potential to detect driver oncogenes such as epidermal growth factor receptor (EGFR) mutants in lung cancer. This technology is advancing rapidly and is being incorporated into numerous EGFR tyrosine kinase inhibitor (EGFR-TKI) development programs. It appears ready for integration into clinical care. Recent studies have demonstrated that biological fluids such as saliva and urine can also be used for detecting EGFR mutant DNA through application other user-friendly techniques. This review focuses on the clinical application of liquid biopsies to lung cancer genotyping, including EGFR and other targets of genotype-directed therapy and compares multiple platforms used for liquid biopsy

Combustion Synthesis of Mullite/Metal Boride Composites

Formation of composite materials composed of mullite (3Al2O3×2SiO2) and transition metal borides (NbB2 and TaB2) was studied by self-propagating high-temperature synthesis (SHS). Starting materials included not only metal oxides (Nb2O5 and Ta2O5) and boron oxide (B2O3) as the sources of metallic elements and boron, but also Al and Si powders as the reducing agents. The evolution of mullite from in situ formed SiO2 and Al2O3 and synthesis of NbB2 and TaB2 were investigated. The effect of excess Si addition was studied on the combustion temperature, flame-front propagation velocity, and phase composition of the final product. For formation of the NbB2/mullite composites, the combustion velocity about 2.5 mm/s and reaction temperature around 1500 oC decreased slightly as the Si content increased. However, a considerable decrease in combustion front velocity from 2.74 to 1.43 mm/s and in reaction temperature from 1600 to 1250 oC was observed for the production of the TaB2/mullite composites. The XRD patterns of the final products confirmed the role of excess Si in the improvement of silicothermic reduction of B2O3 and subsequent evolution of NbB2, TaB2, and mullite. The EDS analysis indicated an atomic proportion close to that of 3Al2O3×2SiO2 for the mullite grains synthesized in this study

A genome-wide scanning and fine mapping study of COGA data

A thorough genetic mapping study was performed to identify predisposing genes for alcoholism dependence using the Collaborative Study on the Genetics of Alcoholism (COGA) data. The procedure comprised whole-genome linkage and confirmation analyses, single locus and haplotype fine mapping analyses, and gene × environment haplotype regression. Stratified analysis was considered to reduce the ethnic heterogeneity and simultaneously family-based and case-control study designs were applied to detect potential genetic signals. By using different methods and markers, we found high linkage signals at D1S225 (253.7 cM), D1S547 (279.2 cM), D2S1356 (64.6 cM), and D7S2846 (56.8 cM) with nonparametric linkage scores of 3.92, 4.10, 4.44, and 3.55, respectively. We also conducted haplotype and odds ratio analyses, where the response was the dichotomous status of alcohol dependence, explanatory variables were the inferred individual haplotypes and the three statistically significant covariates were age, gender, and max drink (the maximum number of drinks consumed in a 24-hr period). The final model identified important AD-related haplotypes within a candidate region of NRXN1 at 2p21 and a few others in the inter-gene regions. The relative magnitude of risks to the identified risky/protective haplotypes was elucidated

NOVA, a Noncommutative-ring Based Unbalanced Oil and Vinegar Signature Scheme with Key-randomness Alignment

In this paper, we propose a noncommutative-ring based unbalanced oil and vinegar signature scheme with key-randomness alignment: NOVA (Noncommutative Oil and Vinegar with Alignment). Instead of fields or even commutative rings, we show that noncommutative rings can be used for algebraic cryptosystems. At the same or better level of security requirement, NOVA has a much smaller public key than UOV (Unbalanced Oil and Vinegar), which makes NOVA practical in most situations. We use Magma to actually implement and give a detailed security analysis against known major attacks

A Simple Noncommutative UOV Scheme

In this paper, we propose a simple noncommutative-ring based UOV signature scheme with key-randomness alignment: Simple NOVA, which can be viewed as a simplified version of NOVA[48]. We simplify the design of NOVA by skipping the perturbation trick used in NOVA, thus shortens the key generation process and accelerates the signing and verification. Together with a little modification accordingly, this alternative version of NOVA is also secure and may be more suitable for practical uses. We also use Magma to actually implement and give a detailed security analysis against known major attacks

HPV infection and p53 inactivation in pterygium

PurposeOur recent report indicated that tumor suppressor gene (p53) mutations and protein aberrant expression were detected in pterygium. Inactivation of p53 by Human papillomavirus (HPV) 16/18 E6 plays a crucial role in cervical tumorigenesis. In this study, we further speculate that p53 inactivation may be linked with HPV infection in pterygium pathogenesis. To investigate the involvement of HPV 16/18 E6 in p53 inactivation in pterygium, the association between HPV 16 or HPV 18 infection, the HPV E6 oncoprotein, and p53 protein expression was analyzed in this study.MethodsHPV 16/18 infection was detected by nested-polymerase chain reaction (nested-PCR), the p53 mutation was detected by direct sequencing, and the p53 and the HPV 16/18 E6 proteins were studied using immunohistochemistry on 129 pterygial specimens and 20 normal conjunctivas.ResultsThe HPV 16/18 was detected in 24% of the pterygium tissues (31 of 129) but not in the normal conjunctiva, and the HPV16/18 E6 oncoprotein was detected in 48.3% of HPV 16/18 DNA-positive pterygium tissues (15 of 31). In addition, p53 protein negative expression in pterygium was correlated with HPV16/18 E6 oncoprotein expression but not with a p53 mutation.ConclusionsHPV 16/18 E6 contributes to HPV-mediated pterygium pathogenesis as it is partly involved in p53 inactivation and is expressed in HPV DNA-positive pterygium