An independently validated nomogram for isocitrate dehydrogenase-wild-type glioblastoma patient survival.

BackgroundIn 2016, the World Health Organization reclassified the definition of glioblastoma (GBM), dividing these tumors into isocitrate dehydrogenase (IDH)-wild-type and IDH-mutant GBM, where the vast majority of GBMs are IDH-wild-type. Nomograms are useful tools for individualized estimation of survival. This study aimed to develop and independently validate a nomogram for IDH-wild-type patients with newly diagnosed GBM.MethodsData were obtained from newly diagnosed GBM patients from the Ohio Brain Tumor Study (OBTS) and the University of California San Francisco (UCSF) for diagnosis years 2007-2017 with the following variables: age at diagnosis, sex, extent of resection, concurrent radiation/temozolomide (TMZ) status, Karnofsky Performance Status (KPS), O6-methylguanine-DNA methyltransferase (MGMT) methylation status, and IDH mutation status. Survival was assessed using Cox proportional hazards regression, random survival forests, and recursive partitioning analysis, with adjustment for known prognostic factors. The models were developed using the OBTS data and independently validated using the UCSF data. Models were internally validated using 10-fold cross-validation and externally validated by plotting calibration curves.ResultsA final nomogram was validated for IDH-wild-type newly diagnosed GBM. Factors that increased the probability of survival included younger age at diagnosis, female sex, having gross total resection, having concurrent radiation/TMZ, having a high KPS, and having MGMT methylation.ConclusionsA nomogram that calculates individualized survival probabilities for IDH-wild-type patients with newly diagnosed GBM could be useful to physicians for counseling patients regarding treatment decisions and optimizing therapeutic approaches. Free software for implementing this nomogram is provided: https://gcioffi.shinyapps.io/Nomogram_For_IDH_Wildtype_GBM_H_Gittleman/

Negative consequences of conflict-related sexual violence on survivors: a systematic review of qualitative evidence

BackgroundConflicts exacerbate dynamics of power and inequalities through violence normalization, which acts as a facilitator for conflict-related sexual violence. Literature addressing its negative outcomes on survivors is scant. The aim of this systematic review was to analyze the qualitative evidence reported in scientific literature and focusing on the negative consequences of conflict-related sexual violence on victims' physical, psychological, and social dimensions of health in a gender-inclusive and disaggregated form.MethodsA literature search was conducted on January 13, 2023 on Pubmed, Scopus, and PsychArticles. The search strings combined two blocks of terms related to sexual violence and conflict. A time filter was applied, limiting the search to studies published in the last ten years. Information regarding the main characteristics and design of the study, survivors and their experience, and about conflict-related sexual violence was collected. The negative consequences of conflict-related sexual violence on the physical, psychological, and social dimension of victims were extracted according to the Biopsychosocial model of health. The review followed the Joanna Briggs Institute methodology for systematic reviews and relied on the Preferred Reporting Items for Systematic reviews and Meta-Analyses.ResultsAfter full text review, 23 articles met the inclusion criteria, with 18 of them reporting negative repercussions on physical health, all of them highlighting adverse psychological outcomes, and 21 disclosing unfavorable social consequences. The negative outcomes described in multiple studies were sexual and reproductive health issues, the most mentioned being pregnancy, manifestations of symptoms attributable to post-traumatic stress disorder, and stigma. A number of barriers to access to care were presented as emerging findings.ConclusionsThis review provided an analysis of the negative consequences of conflict-related sexual violence on survivors, thus highlighting the importance of qualitative evidence in understanding these outcomes and addressing barriers to access to care. Conflict-related sexual violence is a sexual and reproductive health issue. Sexuality education is needed at individual, community, and provider level, challenging gender norms and roles and encompassing gender-based violence. Gender-inclusive protocols and services need to be implemented to address the specific needs of all victims. Governments should advocate for SRHRs and translate health policies into services targeting survivors of CRSV

Prognostic significance of serine-phosphorylated STAT3 expression in pT1-T2 oral tongue carcinoma

Objectives. Phosphorylated (activated) STAT3 (pSTAT3) is a regulator of numerous genes that play an essential part in the onset, development and progression of cancer; it is involved in cell proliferation and preventing apoptosis, and in invasion, angiogenesis, and the evasion of immune surveillance. This study aimed mainly to investigate the potential prognostic role of pSTAT3 expression in oral tongue squamous cell carcinoma (SCC). Methods. Phospho-ser727 STAT3 immunolabeling was correlated with prognostic parameters in 34 consecutive cases of pT1\u2013T2 tongue SCCs undergoing primary surgery. Computer-based image analysis was used for the immunohistochemical reactions analysis. Results. Statistical analysis showed a difference in disease-free survival (DFS) when patients were stratified by pN status (P=0.031). Most tumors had variable degrees (mean\ub1SD, 80.7%\ub123.8%) of intense nuclear immunoreaction to pSTAT3. Our findings rule out any significant association of serine-phosphorylated nuclear STAT3 expression with tumor stage, grade, lymph node metastasis, recurrence rate, or DFS. Conclusion. In spite of these results, it is worth further investigating the role of pSTAT3 (serine-and tyrosine-pSTAT3) in oral tongue SCC in larger series because preclinical models are increasingly showing that several anticancer strategies would benefit from STAT3 phosphorylation inhibition

Pengaruh Pelatihan terhadap Kinerja Karyawan PT. Astra International, Tbk Daihatsu Cabang Malalayang

Training is very important to be implemented because of the increasingly big business competition Pt. Astra International Tbk, Daihatsu Malalayang Branch needs to apply good training to every employee so that employees and companies are ready to compete with similar companies in the business world. The purpose of this training is to train the employees of PT. Astra International Tbk, Daihatsu Malalayang Branch. Analytical techniques used are scale scale, and simple linear regression using SPSS 13. The result of scale range analysis indicates that the training implementation is included in the criterion well with the average score of 85.94. The results of the working scale range analysis included in the high criterion with an average score of 40.60. Results of a simple linear regression study that has been done shows there is a significant influence between training variables and employee performance variables, can be seen in the correlation coefficient of 0.855 which means having a perfect relationship. While the hypothesis test results t arithmetic = 11.435 greater than t table = 1.677 This means Ho is rejected and Haimaan, then training has a positive effect on employee performance at PT. Astra International Tbk, Daihatsu Branch Malalayang thus hypothesized in Chapter I that "If training is done properly, then employee performance will increase", is acceptable

Noise-induced perturbations of dispersion-managed solitons

We study noise-induced perturbations of dispersion-managed solitons by developing soliton perturbation theory for the dispersion-managed nonlinear Schroedinger (DMNLS) equation, which governs the long-term behavior of optical fiber transmission systems and certain kinds of femtosecond lasers. We show that the eigenmodes and generalized eigenmodes of the linearized DMNLS equation around traveling-wave solutions can be generated from the invariances of the DMNLS equations, we quantify the perturbation-induced parameter changes of the solution in terms of the eigenmodes and the adjoint eigenmodes, and we obtain evolution equations for the solution parameters. We then apply these results to guide importance-sampled Monte-Carlo simulations and reconstruct the probability density functions of the solution parameters under the effect of noise.Comment: 12 pages, 6 figure

Initial-boundary value problems for discrete evolution equations: discrete linear Schrodinger and integrable discrete nonlinear Schrodinger equations

We present a method to solve initial-boundary value problems for linear and integrable nonlinear differential-difference evolution equations. The method is the discrete version of the one developed by A. S. Fokas to solve initial-boundary value problems for linear and integrable nonlinear partial differential equations via an extension of the inverse scattering transform. The method takes advantage of the Lax pair formulation for both linear and nonlinear equations, and is based on the simultaneous spectral analysis of both parts of the Lax pair. A key role is also played by the global algebraic relation that couples all known and unknown boundary values. Even though additional technical complications arise in discrete problems compared to continuum ones, we show that a similar approach can also solve initial-boundary value problems for linear and integrable nonlinear differential-difference equations. We demonstrate the method by solving initial-boundary value problems for the discrete analogue of both the linear and the nonlinear Schrodinger equations, comparing the solution to those of the corresponding continuum problems. In the linear case we also explicitly discuss Robin-type boundary conditions not solvable by Fourier series. In the nonlinear case we also identify the linearizable boundary conditions, we discuss the elimination of the unknown boundary datum, we obtain explicitly the linear and continuum limit of the solution, and we write down the soliton solutions.Comment: 41 pages, 3 figures, to appear in Inverse Problem

Exploring the flavour structure of the MSSM with rare K decays

We present an extensive analysis of rare K decays, in particular of the two neutrino modes K+->pi+ nu nu-bar and KL->pi0 nu nu-bar, in the Minimal Supersymmetric extension of the Standard Model. We analyse the expectations for the branching ratios of these modes, both within the restrictive framework of the minimal flavour violation hypothesis and within a more general framework with new sources of flavour-symmetry breaking. In both scenarios, the information that can be extracted from precise measurements of the two neutrino modes turn out to be very useful in restricting the parameter space of the model, even after taking into account the possible information on the mass spectrum derived from high-energy colliders, and the constraints from B-physics experiments. In the presence of new sources of flavour-symmetry breaking, additional significant constraints on the model can be derived also from the two KL->pi0 l+l- modes.Comment: 22 pages, 10 figures (high quality figures available on request

A Case of Brachymetatarsia From Medieval Sardinia (Italy)

Archaeological excavations carried out in the Medieval village of Geridu (Sardinia) uncovered several burials dating to the late 13th or the first half of 14th century. Among these individuals, the skeleton of an adult female showing a bilateral abnormal shortness of the fourth metatarsal bone was identified. Bilaterality and absence of other skeletal anomalies allow to rule out an acquired aetiology of the disease and to support a diagnosis of congenital brachymetatarsia. Such a rare deformity has a clinical incidence of 0.02% to 0.05%, with strong predominance of the female gender. To our knowledge, no other cases of brachymetatarsia have been reported in paleopathology so far

Self-sensing composite material based on piezoelectric nanofibers

Recently, efforts have been made to manufacture self-sensing smart composites by integrating piezoelectric sensors with laminates. However, the interleaving of pressure sensors, such as piezoelectric polymeric films, dramatically reduces the impact resistance of the hosting laminates, and consequently, delamination can occur. This study aimed to fabricate a self-sensing composite material by embedding piezoelectric nanofibers of poly(vinylidenefluoride-trifluoroethylene) (PVDF-TrFE) in a polymeric elastic matrix and carbon black-based electrodes to detect a piezoelectric signal. The mechanical and electrical properties of the self-sensing laminate were maintained after 106 fatigue test cycles. By appropriately tuning the parameters of the acquisition circuit, the sensor could measure not only impulsive loads but also low-frequency loads as low as 0.5 Hz. A piezoelectric model with lumped parameters for the polarization process and piezoelectric response of the nanofibers is proposed and validated by experimental results. As a proof of the model, the piezoelectric nanofiber sensors were embedded in a prosthetic carbon fiber sole, and the piezoelectric signal response closely followed the ground reaction force with a sensitivity of 0.14 mV/N