Management of Posterior Reversible Syndrome in Preeclamptic Women

Posterior reversible encephalopathy syndrome (PRES) is a neurological syndrome associated with a number of conditions including preeclampsia. It is characterized by seizures, alteration of consciousness, visual disturbances, and symmetric white matter abnormalities, typically in the posterior parietooccipital regions of the cerebral hemispheres, at computed tomography (CT) and magnetic resonance (MRI). We report three new cases of PRES in preeclamptic patients and describe the management of these patients. We present a brief review of other cases in the literature, with particular attention to the anesthetic management

Identifying Outcomes and Gaps Impacting Tobacco Control and Prevention in African American Communities

Great racial disparities exist in smoking and related health outcomes in the United States. African American (AA) smokers start smoking later and smoke less than white smokers but are less likely to quit. In 2008, the CDC’s Office on Smoking and Health funded the National African American Tobacco Prevention Network (NAATPN) to focus tobacco control leadership, expertise and promotion in the AA community. In 2012, NAATPN sought to determine significant outcomes of tobacco control efforts impacting Black and AA communities by conducting a qualitative document search and series of interviews with experts in the field. Thirteen identified outcomes were categorized into five broad classifications: 1) Menthol: Emergence of menthol as a focus for advocacy, policy and research; 2) Policy and Legal: Public policy and legal action aimed at reducing tobacco usage and consumption; 3) Advocacy: Focus on national networking to facilitate growth of local, organic, and grassroots capacity in AA communities; 4) Diversity: Emergence of diversity and inclusivity as values and principles used in shaping/driving policy, advocacy, and outreach; and 5) Cessation: Creation of a cessation guide for the AA community. The identified outcomes can be used by public health practitioners in furthering their efforts to address and reduce tobacco use disparities in the AA community

Harvesting, coupling and control of single exciton coherences in photonic waveguide antennas

We perform coherent non-linear spectroscopy of individual excitons strongly confined in single InAs quantum dots (QDs). The retrieval of their intrinsically weak four-wave mixing (FWM) response is enabled by a one-dimensional dielectric waveguide antenna. Compared to a similar QD embedded in bulk media, the FWM detection sensitivity is enhanced by up to four orders of magnitude, over a broad operation bandwidth. Three-beam FWM is employed to investigate coherence and population dynamics within individual QD transitions. We retrieve their homogenous dephasing in a presence of spectral wandering. Two-dimensional FWM reveals off-resonant F\"orster coupling between a pair of distinct QDs embedded in the antenna. We also detect a higher order QD non-linearity (six-wave mixing) and use it to coherently control the FWM transient. Waveguide antennas enable to conceive multi-color coherent manipulation schemes of individual emitters.Comment: 7 pages, 8 Figure

A simple 1-D finite elements approach to model the effect of PCB in electronic assemblies

In this paper, a simple method to describe the effect of Printed Circuit Board (PCB) and environment on the thermal behavior of packaged devices is addressed. This approach aims at exploiting the benefit of compact thermal models, which are necessarily one-dimensional, together with the advantage of Finite Element (FE) modeling, which retains all the three-dimensional geometrical details, only in the regions of the model that must be accurately described. The main focus is on correct modeling of long power pulses for subsequent electro-thermal and thermo-mechanical analysis at chip level

Effect of Sugars on Gelation Kinetics of Gelatin Gels

We investigate the rheological behavior of aqueous solutions containing animal gelatin, sugars and polyols. The aim is to study how the gelation kinetics, transition temperatures and gel strengths of an aqueous gelatin solution can be affected by the progressive addition of co-solutes. Aqueous solutions with a fixed mass percentage of gelatin of 6.8 wt% were prepared at various concentrations of sugars and polyols. Through Dynamic Temperature Ramp tests, performed at various ramp rates, and Dynamic Time Sweep and Dynamic Frequency Sweep tests, carried out at different temperatures, it was possible both to evaluate the transition temperatures and to monitor the gelation kinetics of the samples. It was found that the contribution of co-solutes positively affects both the gelation process and the thermal stability of the aqueous gelatin solution by reducing the gelation time and improving the mechanical properties of the gel in terms of network elasticity

Two-dimensional impurity imaging in deep Antarctic ice cores: snapshots of three climatic periods and implications for high-resolution signal interpretation

Due to its micrometer-scale resolution and inherently micro-destructive nature, laser ablation inductively coupled plasma mass spectrometry (LA-ICP-MS) is particularly suited to exploring the thin and closely spaced layers in the oldest sections of polar ice cores. Recent adaptions to the LA-ICP-MS instrumentation mean we have faster washout times allowing state-of-the-art 2-D imaging of an ice core. This new method has great potential especially when applied to the localization of impurities on the ice sample, something that is crucial, to avoiding misinterpretation of the ultra-fine-resolution signals. Here we present the first results of the application of LA-ICP-MS elemental imaging to the analysis of selected glacial and interglacial samples from the Talos Dome and EPICA Dome C ice cores from central Antarctica. The localization of impurities from both marine and terrestrial sources is discussed, with special emphasis on observing a connection with the network of grain boundaries and differences between different climatic periods. Scale-dependent i mage analysis shows that the spatial significance of a single line profile along the main core axis increases systematically as the imprint of the grain boundaries weakens. It is demon-strated how instrumental settings can be adapted to suit the purpose of the analysis, i.e., by either employing LA-ICP-MS to study the interplay between impurities and the ice microstructure or to investigate the extremely thin climate proxy signals in deep polar ice

Role of liquid biopsy in oncogene-addicted non-small cell lung cancer

none7noThe discovery of actionable oncogene in non-small cell lung cancer (NSCLC) allowed the identification of a subgroup of patients who benefit from targeted tyrosine kinase inhibitors more than others. Mutations in the epidermal growth factor receptor (EGFR), translocations in the anaplastic lymphoma kinase (ALK) and rearrangements in the ROS proto-oncogene 1 (ROS1) must be identified in tumor tissue to guide the proper treatment choice. Liquid biopsy is based on the analysis of tumor materials released in the circulation. Liquid biopsy can be complementary to tissue biopsy, both at baseline and at progression, especially in the detection of somatic gene alterations emerging during the treatment with tyrosine kinase inhibitors (TKIs). Particularly, circulating DNA is used to find mutations in driver oncogenes, while circulating tumor cells, extracellular vesicles (EVs) and cell-free microRNAs (cfmiRNAs) are still under investigation. To help the unbiased use of liquid biopsy in the choice of the appropriate therapy, some recommendations were delivered by expert panels. Currently, analysis of EGFR mutations in cell-free DNA (cfDNA) is recommended at baseline when tissue biopsy harbors scarce tumor cells, and at progression before performing tissue biopsy; liquid biopsy analysis for other oncogenic drivers is not indicated in the clinical practice.openCanale M.; Pasini L.; Bronte G.; Delmonte A.; Cravero P.; Crino L.; Ulivi P.Canale, M.; Pasini, L.; Bronte, G.; Delmonte, A.; Cravero, P.; Crino, L.; Ulivi, P

Case Report: Stevens-Johnson Syndrome and Hepatotoxicity Induced by Osimertinib Sequential to Pembrolizumab in a Patient With EGFR-Mutated Lung Adenocarcinoma

Background: Lung cancer is a complex disease with many subtypes. However, histochemical characteristics, and genetic mutation determinations are contributing to better define therapeutic targets and new drugs. Although this guarantees patients the possibility of obtaining tailored treatment, it makes it more difficult for clinicians patient management more difficult for clinicians who have to define the most suitable therapeutic strategy and to deal with new treatment-related adverse events (TRAEs). It has been seen that the administration of a tyrosine kinase inhibitor (TKI) sequential to an immune checkpoint inhibitor (ICI) can lead to a higher rate of severe and life-threatening TRAEs. We report the case of a patient with advanced non-small cell lung cancer (NSCLC) who experienced severe hepatotoxicity and Stevens-Johnson syndrome (SJS) induced by osimertinib sequential to pembrolizumab. Case presentation: A 54-year-old woman with advanced NSCLC received one cycle of chemotherapy plus pembrolizumab after diagnosis. Ten days later she began osimertinib 80 mg daily because epidermal growth factor receptor (EGFR) analysis had revealed an exon 19 deletion. On day 23 of osimertinib the patient experienced an episode of grade (G) 3 hepatotoxicity resolved by discontinuing osimertinib and corticosteroid therapy. The patient restarted osimertinib 80 mg daily after the remission of symptoms but was hospitalized 14 days later following a second episode of severe G3 hepatotoxicity and the onset of SJS, successfully treated with high-dose corticosteroids. Despite the short exposure to osimertinib, the patient obtained a good pathological response. Conclusion: It is important to alert clinicians to carefully evaluate the sequential therapeutic strategy in patients with NSCLC who are candidates for TKI- or ICI-based treatment. Our experience suggests that the use of tyrosine kinase inhibitors (TKIs) as front-line treatment is a more reasonable and safe option for EGFR-mutated lung adenocarcinoma, with ICIs considered as a possible further treatment in sequential approaches

Synthesis and crystal structure of C2/c Ca(Co, Mg)Si2O6 pyroxenes : effect of the cationic substitution on the cell volume

A series of clinopyroxenes along the CaMgSi2O6-CaCoSi2O6 join was synthesized by quenching from melt at 1500\ub0C and subsequent annealing at 1250\ub0C (at 0.0001 GPa). This protocol proved to be the most effective to obtain homogenous, impurity free and stoichiometric pyroxenes as run products. Electron microprobe analyses in energy-dispersive mode were conducted and single-crystal X-ray diffraction data were collected on the Ca(CoxMg1-x)Si2O6 pyroxenes, with x = 0.2, 0.4, 0.5, 0.6; anisotropic structure refinements were performed. The effects of the cation substitution at the M1 site are described at the atomic level. The experimental findings of this study allowed us to extend the comparative analysis of the structural features of pyroxenes with divalent cations at the M1 and M2 sites