10,732 research outputs found
Surgical stress and metabolic response after totally laparoscopic right colectomy
No clear consensus on the need to perform an intracorporeal anastomosis (IA) after laparoscopic right colectomy is currently available. One of the potential benefits of intracorporeal anastomosis may be a reduction in surgical stress. Herein, we evaluated the surgical stress response and the metabolic response in patients who underwent right colonic resection for colon cancer. Fifty-nine patients who underwent laparoscopic resection for right colon cancer were randomized to receive an intracorporeal or an extracorporeal anastomosis (EA). Data including demographics (age, sex, BMI and ASA score), pathological (AJCC tumour stage and tumour localization) and surgical results were recorded. Moreover, to determine the levels of the inflammatory response, mediators, such as C-reactive protein (CRP), tumour necrosis factor (TNF), interleukin 1ÎČ (IL-1ÎČ), IL-6, IL-10, and IL-13, were evaluated. Similarly, cortisol and insulin levels were evaluated as hormonal responses to surgical stress. We found that the proinflammatory mediator IL-6, CRP, TNF and IL-1ÎČ levels, were significantly reduced in IA compared to EA. Concurrently, an improved profile of the anti-inflammatory cytokines IL-10 and IL-13 was observed in the IA group. Relative to the hormone response to surgical stress, cortisol was increased in patients who underwent EA, while insulin was reduced in the EA group. Based on these results, surgical stress and metabolic response to IA justify advocating the adoption of a totally laparoscopic approach when performing a right colectomy for cancer. This trial is registered on ClinicalTrials.gov (ID: NCT03422588)
Determining flooded areas using crowd sensing data and weather radar precipitationâŻ: a case study in Brazil
Crowd sensing data (also known as crowdsourcing) are of great significance to support flood risk management. With the growing volume of available data in the past few years, researchers have used in situ sensor data to filter and prioritize volunteersâ information. Nevertheless, stationary, in situ sensors are only capable of monitoring a limited region, and this could hamper proper decision-making. This study investigates the use of weather radar precipitation to support the processing of crowd sensing data with the goal of improving situation awareness in a disaster and early warnings (e.g., floods). Results from a case study carried out in the city of SĂŁo Paulo, Brazil, demonstrate that weather radar data are able to validate flooded areas identified from clusters of crowd sensing data. In this manner, crowd sensing and weather radar data together can not only help engage citizens, but also generate high-quality data at finer spatial and temporal resolutions to improve the decision-making related to weather-related disaster events
Measurements and tests on FBK silicon sensors with an optimized electronic design for a CTA camera
In October 2013, the Italian Ministry approved the funding of a Research &
Development (R&D) study, within the "Progetto Premiale TElescopi CHErenkov made
in Italy (TECHE)", devoted to the development of a demonstrator for a camera
for the Cherenkov Telescope Array (CTA) consortium. The demonstrator consists
of a sensor plane based on the Silicon Photomultiplier (SiPM) technology and on
an electronics designed for signal sampling. Preliminary tests on a matrix of
sensors produced by the Fondazione Bruno Kessler (FBK-Trento, Italy) and on
electronic prototypes produced by SITAEL S.p.A. will be presented. In
particular, we used different designs of the electronics in order to optimize
the output signals in terms of tail cancellation. This is crucial for
applications where a high background is expected, as for the CTA experiment.Comment: 5 pages, 6 figures; Proceedings of the 10th Workshop on Science with
the New Generation of High-Energy Gamma-ray experiments (SciNeGHE) -
PoS(Scineghe2014)00
Altered miR-193a-5p expression in children with cow's milk allergy
Cow's milk allergy (CMA) is one of the most common food allergies in children. Epigenetic mechanisms have been suggested to play a role in CMA pathogenesis. We shown that DNA methylation of Th1/Th2 cytokine genes and FoxP3 affects CMA disease course. Preliminary evidence suggest that also the miRNome could be implicated in the pathogenesis of allergy. Main study outcome was to comparatively evaluate miRNome in children with CMA and in healthy controls
The complex TIE between macrophages and angiogenesis
Macrophages are primarily known as phagocytic immune cells, but they also play a role in diverse processes, such as morphogenesis, homeostasis and regeneration. In this review, we discuss the influence of macrophages on angiogenesis, the process of new blood vessel formation from the pre-existing vasculature. Macrophages play crucial roles at each step of the angiogenic cascade, starting from new blood vessel sprouting to the remodelling of the vascular plexus and vessel maturation. Macrophages form promising targets for both pro- and anti-angiogenic treatments. However, to target macrophages, we will first need to understand the mechanisms that control the functional plasticity of macrophages during each of the steps of the angiogenic cascade. Here, we review recent insights in this topic. Special attention will be given to the TIE2-expressing macrophage (TEM), which is a subtype of highly angiogenic macrophages that is able to influence angiogenesis via the angiopoietin-TIE pathway
Portal venous gas after a failed endoscopic retrograde cholangiopancreatography attempt in a patient with a large hepatocellular carcinoma: A case report
The cause of hepatic portal vein gas (HPVG) is variable. Good knowledge of the possible causes, combined with the clinical assessment of the patient and a good quality imaging, is required to correctly identify the underlying cause of HPVG and to best predict the prognosis
Low-grade gliomas in patients with Noonan syndrome: case-based review of the literature
Noonan syndrome (NS) is a congenital autosomic dominant condition characterized by a variable spectrum from a clinical and genetical point of view. Germline mutations in more than ten genes involved in RASâMAPK signal pathway have been demonstrated to cause the disease. An higher risk for leukemia and solid malignancies, including brain tumors, is related to NS. A review of the published literature concerning low grade gliomas (LGGs) in NS is presented. We described also a 13-year-old girl with NS associated with a recurrent mutation in PTPN11, who developed three different types of brain tumors, i.e., an optic pathway glioma, a glioneuronal neoplasm of the left temporal lobe and a cerebellar pilocytic astrocytoma. Molecular characterization of the glioneuronal tumor allowed to detect high levels of phosphorylated MTOR (pMTOR); therefore, a therapeutic approach based on an mTOR inhibitor (everolimus) was elected. The treatment was well tolerated and proved to be effective, leading to a stabilization of the tumor, which was surgical removed. The positive outcome of the present case suggests considering this approach for patients with RASopathies and brain tumors with hyperactivated MTOR signaling
XIAP as a Target of New Small Organic Natural Molecules Inducing Human Cancer Cell Death
X-linked inhibitor of apoptosis protein (XIAP) is an emerging crucial therapeutic target in cancer. We report on the discovery and characterisation of small organic molecules from Piper genus plants exhibiting XIAP antagonism, namely erioquinol, a quinol substituted in the 4-position with an alkenyl group and the alkenylphenols eriopodols A-C. Another isolated compound was originally identified as gibbilimbol B. Erioquinol was the most potent inhibitor of human cancer cell viability when compared with gibbilimbol B and eriopodol A was listed as intermediate. Gibbilimbol B and eriopodol A induced apoptosis through mitochondrial permeabilisation and caspase activation while erioquinol acted on cell fate via caspase-independent/non-apoptotic mechanisms, likely involving mitochondrial dysfunctions and aberrant generation of reactive oxygen species. In silico modelling and molecular approaches suggested that all molecules inhibit XIAP by binding to XIAP-baculoviral IAP repeat domain. This demonstrates a novel aspect of XIAP as a key determinant of tumour control, at the molecular crossroad of caspase-dependent/independent cell death pathway and indicates molecular aspects to develop tumour-effective XIAP antagonists
INFN Camera demonstrator for the Cherenkov Telescope Array
The Cherenkov Telescope Array is a world-wide project for a new generation of
ground-based Cherenkov telescopes of the Imaging class with the aim of
exploring the highest energy region of the electromagnetic spectrum. With two
planned arrays, one for each hemisphere, it will guarantee a good sky coverage
in the energy range from a few tens of GeV to hundreds of TeV, with improved
angular resolution and a sensitivity in the TeV energy region better by one
order of magnitude than the currently operating arrays. In order to cover this
wide energy range, three different telescope types are envisaged, with
different mirror sizes and focal plane features. In particular, for the highest
energies a possible design is a dual-mirror Schwarzschild-Couder optical
scheme, with a compact focal plane. A silicon photomultiplier (SiPM) based
camera is being proposed as a solution to match the dimensions of the pixel
(angular size of ~ 0.17 degrees). INFN is developing a camera demonstrator made
by 9 Photo Sensor Modules (PSMs, 64 pixels each, with total coverage 1/4 of the
focal plane) equipped with FBK (Fondazione Bruno Kessler, Italy) Near
UltraViolet High Fill factor SiPMs and Front-End Electronics (FEE) based on a
Target 7 ASIC, a 16 channels fast sampler (up to 2GS/s) with deep buffer,
self-trigger and on-demand digitization capabilities specifically developed for
this purpose. The pixel dimensions of mm lead to a very compact
design with challenging problems of thermal dissipation. A modular structure,
made by copper frames hosting one PSM and the corresponding FEE, has been
conceived, with a water cooling system to keep the required working
temperature. The actual design, the adopted technical solutions and the
achieved results for this demonstrator are presented and discussed.Comment: In Proceedings of the 34th International Cosmic Ray Conference
(ICRC2015), The Hague, The Netherlands. All CTA contributions at
arXiv:1508.0589
Search for Early Gamma-ray Production in Supernovae Located in a Dense Circumstellar Medium with the Fermi LAT
Supernovae (SNe) exploding in a dense circumstellar medium (CSM) are
hypothesized to accelerate cosmic rays in collisionless shocks and emit GeV
gamma rays and TeV neutrinos on a time scale of several months. We perform the
first systematic search for gamma-ray emission in Fermi LAT data in the energy
range from 100 MeV to 300 GeV from the ensemble of 147 SNe Type IIn exploding
in dense CSM. We search for a gamma-ray excess at each SNe location in a one
year time window. In order to enhance a possible weak signal, we simultaneously
study the closest and optically brightest sources of our sample in a
joint-likelihood analysis in three different time windows (1 year, 6 months and
3 months). For the most promising source of the sample, SN 2010jl (PTF10aaxf),
we repeat the analysis with an extended time window lasting 4.5 years. We do
not find a significant excess in gamma rays for any individual source nor for
the combined sources and provide model-independent flux upper limits for both
cases. In addition, we derive limits on the gamma-ray luminosity and the ratio
of gamma-ray-to-optical luminosity ratio as a function of the index of the
proton injection spectrum assuming a generic gamma-ray production model.
Furthermore, we present detailed flux predictions based on multi-wavelength
observations and the corresponding flux upper limit at 95% confidence level
(CL) for the source SN 2010jl (PTF10aaxf).Comment: Accepted for publication in ApJ. Corresponding author: A. Franckowiak
([email protected]), updated author list and acknowledgement
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