The complementary role of imaging and tumor biomarkers in gynecological cancers: an update of the literature

Gynecological tumors, including endometrial, cervical and ovarian cancer, have increased in incidence over time. The widespread introduction of screening programs and advances in diagnostic imaging methods has lead to a progressive increase in gynecological cancer detection. Accurate diagnosis and proper monitoring of disease remain the primary target for a successful treatment. In the last years, knowledge about cancer biomarkers has considerably increased providing great opportunities for improving cancer detection and treatment. In addition, in the last few years there has been an important development of imaging techniques. Nowadays, a multimodal approach including the evaluation of serum tumor biomarkers combined with imaging techniques, seems to be the best strategy for assessing tumor presence, spread, recurrence, and/or the response to treatment in female cancer patients In this review we provide an overview of the application of biomarkers combined with novel imaging methods and highlight their roles in female cancer diagnosis and follow-up

Intractable restless legs syndrome: role of prolonged-release oxycodone-naloxone.

Restless legs syndrome (RLS) is a common neurological disorder characterized by an irresistible urge to move the legs accompanied by uncomfortable sensations that occur at night or at time of rest. Pharmacological therapy should be limited to patients who suffer from clinically relevant symptoms. Chronic RLS is usually treated with either a dopamine agonist (pramipexole, ropinirole, rotigotine) or an \u3b12\u3b4 calcium-channel ligand (gabapentin, gabapentin enacarbil, pregabalin). Augmentation is the main complication of long-term dopaminergic treatment, and frequently requires a reduction of current dopaminergic dose or a switch to nondopaminergic medications. Opioids as monotherapy or add-on treatment should be considered when alternative satisfactory regimens are unavailable and the severity of symptoms warrants it. In a recent Phase III trial, oxycodone\u2013naloxone prolonged release (PR) demonstrated a significant and sustained effect on patients with severe RLS inadequately controlled by previous treatments. The adverse-event profile was consistent with the safety profile of opioids. The most frequent adverse events were fatigue, constipation, nausea, headache, hyperhidrosis, somnolence, dry mouth, and pruritus. Adverse events were usually mild or moderate in intensity. No cases of augmentation were reported. Oxycodone\u2013naloxone PR is approved for the second-line symptomatic treatment of adults with severe to very severe idiopathic RLS after failure of dopaminergic treatment. Further studies are needed to evaluate if oxycodone\u2013naloxone PR is equally efficacious as a first-line treatment. Moreover, long-term comparative studies between opioids, dopaminergic drugs and \u3b12\u3b4 ligands are needed

Accident data analysis and on-field inspections. Do they lead to similar conclusions?

Network Safety Ranking and Road Assessment Programme (RAP) are two procedures used in road infrastructure safety management to rank the road sections of a network according to estimated road safety performance. The former uses indicators based on road accidents and their consequences while the latter method is based primarily on inspections of the road infrastructure. The aim of this study was to verify whether there is a relationship between the indicators used within these methods, in order to evaluate if and under which conditions RAP scores contribute to the prediction of accident numbers. The adopted approach is based on the calibration and analysis of a wide array of models in order to reproduce the observed events-injury road accidents, fatalities and injuries-with reference to different aggregations of the original data and in the two reference situations: with and without EuroRAP (European Road Assessment Programme) indicators. From the obtained results, the introduction of the EuroRAP indicators ends up making the models that explain the frequency of accidents more convincing from a statistical point of view. These indicators, which summarise the road safety performance of a road section, could prove useful in replacing the covariates (e.g. presence of intersections, geometrical and functional features of roads) that are used in the calibration of accident prediction models. However, it should be stressed that not all types of accident are addressed by the EuroRAP approach, and this may represent a limitation for those roadways where such kind of accidents are frequently observed, like rear-end collisions on motorways. Probably, by including these accident types, the explanatory power of the EuroRAP variables would increase, at least on motorways

Fluorenone dye-Zeolite L hybrid: a novel optical material

A major challenge facing humanity is developing renewable source of energy. Following the biological blueprint of the natural photosynthesis is possible design synthetic systems for converting light into stored energy: the so called artificial antenna systems. The encapsulation of ordered chromophore molecules into one dimensional zeolite channel systems results in host-guest compounds suitable for the development of novel optical materials such as lenses, infrared light-emitting diodes (used in telecommunications) or dye nanostructured materials for optical data storage [1]. X-ray powder diffraction study of zeolite K-L loaded with 0.5, 1, 1.5, 2 fluorenone-dye (FL) molecules per unit cell (ZL/FL hybrid) [2], was carried out to understand the functionality of these host-guest systems from the structural point of view. These data evidenced a significant change of the unit cell parameters due to the embedding of FL into the ZL 12-membered channels. The Rietveld refinements revealed that the maximum loading is 1.5 FL molecules per unit cell. A strong interaction between FL carbonyl group and two extraframework potassium cations is proved by the short bond distances which make this composite very stable

Disease Activity and Progression in Multiple Sclerosis: New Evidences and Future Perspectives

Multiple sclerosis (MS) is a chronic, debilitating, autoimmune-mediated, inflammatory disease of the central nervous system (CNS), in which a combination of inflammation, demyelination and axonal degeneration takes place with extreme highly interpersonal variability [...]

Landslide mapping and characterization through Infrared Thermography (IRT): Suggestions for a methodological approach from some case studies

In this paper, the potential of Infrared Thermography (IRT) as a novel operational tool for landslide surveying, mapping and characterization was tested and demonstrated in different case studies, by analyzing various types of instability processes (rock slide/fall, roto-translational slide-flow). In particular, IRT was applied, both from terrestrial and airborne platforms, in an integrated methodology with other geomatcs methods, such as terrestrial laser scanning (TLS) and global positioning systems (GPS), for the detection and mapping of landslides’ potentially hazardous structural and morphological features (structural discontinuities and open fractures, scarps, seepage and moisture zones, landslide drainage network and ponds). Depending on the study areas’ hazard context, the collected remotely sensed data were validated through field inspections, with the purpose of studying and verifying the causes of mass movements. The challenge of this work is to go beyond the current state of the art of IRT in landslide studies, with the aim of improving and extending the investigative capacity of the analyzed technique, in the framework of a growing demand for effective Civil Protection procedures in landslide geo-hydrological disaster managing activities. The proposed methodology proved to be an effective tool for landslide analysis, especially in the field of emergency management, when it is often necessary to gather all the required information in dangerous environments as fast as possible, to be used for the planning of mitigation measures and the evaluation of hazardous scenarios. Advantages and limitations of the proposed method in the field of the explored applications were evaluated, as well as general operative recommendations and future perspectives

Deciphering the Interplay between Binders and Electrolytes on the Performance of Li4Ti5O12 Electrodes for Li-Ion Batteries

Lithium titanium oxide (Li4Ti5O12, LTO) is an attractive negative electrode for the development of safe-next-generation-lithium-ion batteries (LIBs). LTO can find specific applications complementary to existing alternatives for LIBs thanks to its good rate capability at high C-rates, fast lithium intercalation, and high cycling stability. Furthermore, LIBs featuring LTO electrodes are inherently safer owing to the LTO's operating potential of 1.55 V vs. Li+/Li where the commonly used organic-based electrolytes are thermodynamically stable. Herein, we report the combined use of water-soluble sodium alginate (SA) binder and lithium bis(trifluoromethanesulfonyl)imide (LiTFSI)-tetraglyme (1m-T) electrolyte and we demonstrate the improvement of the electrochemical performance of LTO-based electrodes with respect to those operating in conventional electrolyte 1M LiPF6-ethylene carbonate: dimethyl carbonate (LP30). We also tackle the analysis of the impact of combining the binder/electrolyte on the long-term cycling performance of LTO electrodes featuring SA or conventional polyvinylidene fluoride (PVdF) as binders. Therefore, to assess the impact of the combination of binder/electrolyte on performance, we performed post-mortem characterization by ex situ synchrotron diffraction experiments of LTO electrodes after cycling in LP30 and 1m-T electrolytes

Experimental and Computational Study of the New Gaseous Molecules OMnF and OMnF[Sub 2]

The new gaseous species OMnF and OMnF2 were identified and studied by high-temperature Knudsen Cell Mass Spectrometry. Their thermochemical atomization energies were derived through the study of several all-gas equilibria in the temperature range 1735–1913 K. FTIR matrix isolation experiments together with ab initio and density functional calculations were performed to determine the molecular parameters, bond distances, and vibrational frequencies of OMnF(g) and OMnF2(g) . The results allowed us to evaluate a set of thermal functions for the new species that were used in the evaluation of the equilibrium data. The proposed atomization energies and enthalpies of formation are DaH0 + (OMnF,g)5(90365) kJ mol21, DfH298.15 + (OMnF,g)5(229765) kJ mol21, and DaH0 + (OMnF2 ,g)5(1470670) kJ mol21, DfH298.15 + (OMnF2 ,g)5(2789670) kJ mol21