154 research outputs found
Gene expression effects on productivity and stress tolerance in polyclonal plantings of Populus deltoides
Polyclonal plantings of Populus deltoides are expected to display increased site resource use, productivity, and tolerance to stress through plasticity changes leading to niche differentiation (i.e changes to crown/canopy structures). In the present study, P. deltoides Clones S7C8, 110412, and polyclonal plots were tested for differentially expressed genes and enriched biological pathways between planting schemes. Transcriptomic analysis of leaves revealed upregulation of an active growth gene and gene family members that play important roles in plant stress and stress tolerance in polyclonal plantings. A gene associated with oxidative stress was upregulated in polyclonal plantings across all treatments. Secondary metabolic pathways including arginine and proline metabolism were upregulated in monoclonal plantings and downregulated in polyclonal plantings. Phenotypic results displayed greater aboveground biomass in polyclonal plantings. Results suggested a potential increased tolerance in polyclonal plantings to water and heat stress, including increased productivity and resource usage
Screening for Prostate Cancer: Digital rectal examination: outdated or still valuable?
Introduction and Objective:
Digital rectal examination (DRE) is an important diagnostic tool of a urologist and it has been incorporated in screening programmes for prostate cancer (PC), such as the European Randomized Study of Screening for Prostate Cancer (ERSPC). In the Rotterdam section of this study, until 1997, a man with a PSA level Ăąâ°Â„4.0 ng/ml or an abnormal result on DRE or TRUS (transrectal ultrasound) was offered a lateralised sextant prostate biopsy. After 1997 however, DRE and TRUS were discontinued as a biopsy indication and simultaneously the PSA threshold was lowered to 3.0 ng/ml. While TRUS clearly was not shown to be a valuable test for the early detection of PC, the value of DRE has been more controversial. In this study we summarise the evidence on the position of DRE in a PSA-based screening.
Methods
First, we assessed the variability in percentage of positive DRE between different physicians. Furthermore, we evaluated the additional effect of an abnormal DRE on the chance of a positive prostate biopsy result in men with an elevated PSA, the differences in characteristics between tumours detected in PSA range 2.0-4.0 ng/ml due to a positive DRE or due to a PSA cut-off, and the long-term effect of having an abnormal DRE. Finally, the effect of omitting DRE from the screening protocol was analysed.
Results
A positive result of a DRE is important subject to interobserver variability, varying from 4% to 28%. At very low PSA (<4.0 ng/ml), DRE has a poor PPV of approximately 10%. A suspicious DRE compared to normal findings, in addition to an elevated PSA, increased the chance of finding a positive biopsy at initial screening from 22.4% to 48.6%. This effect is independent of observer, but diminished with subsequent screening rounds. In the low PSA range of 2.0-4.0 ng/ml, DRE more selectively detects high-grade cancers when compared to biopsying all men, but still missed many of these. On long-term, however, an initially positive DRE with negative biopsy gives no worse outcomes regarding cancers detected later. Omitting DRE and TRUS, while lowering the PSA threshold to 3.0 ng/ml as a biopsy indication resulted in an overall decrease of 10% in the rate of biopsies, while the detection rate remained similar at 4.7%. On a relatively short-term follow-up, this neither resulted in an i!
ncreased risk of interval cancers or PC detected in subsequent screening rounds.
Conclusions
At the first screening and when used in addition to an elevated PSA, DRE increases both the chance of finding PC and selectively detecting clinically significant disease. DRE could therefore be of use to optimise screening in subgroups of men. However, the predictive value of DRE is low in a screening setting, and therefore not suitable as a solitary screening tool in men with low PSA values
Epilepsy surgery in tuberous sclerosis: The Dutch experience
SummaryIntroductionEpilepsy associated with tuberous sclerosis complex (TSC) is drug resistant in more than half of the patients. Epilepsy surgery may be an alternative treatment option, if the epileptogenic tuber can be identified reliably and if seizure reduction is not at the expense of cognitive or other functions. We report the pre-surgical identification of the epileptogenic tuber and post-surgical outcome of patients with TSC in The Netherlands.MethodsTwenty-five patients underwent the pre-surgical evaluation of the Dutch Comprehensive Epilepsy Surgery Programme, including a detailed seizure history, interictal and ictal video EEG registrations, 3D FLAIR MRI scans and neuropsychological testing. Suitability of the candidates was decided in consensus. Seizure outcome, scored with the Engel classification, and cognition were reassessed at fixed post-surgery intervals.ResultsEpilepsy surgery was performed in six patients. At follow-up, four patients had Engel classification 1, two had classification 4. Improved development and behaviour was perceived by the parents of two patients. Epilepsy surgery was not performed in 19 patients because seizures were not captured, ictal onset zones could not be localised or were multiple, interictal EEG, video EEG and MEG results were not concordant, or seizure burden had diminished during decision making. A higher cognition index was found in the surgical patients compared to the non-surgical candidates.ConclusionsEpilepsy surgery can be performed safely and successfully in patients in whom semiology, interictal EEG, ictal EEG, MEG and the location of tubers are concordant. In other cases the risk of surgery should be weighed against the chance of seizure relief and in case of children subsequent impact on neurodevelopment
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ŃĐœĐșŃ ĐČŃŃĐ°Ń ŃĐžŃĐșŃ ĐżĐŸĐČŃŃŃŃ Ń ĐłŃŃĐœĐžŃĐžŃ
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ŃĐž Đ· ĐŒĐ”ŃĐŸŃ ĐČĐžĐ±ĐŸŃŃ Đ·Đ°ŃĐŸĐ±ŃĐČ ĐŒŃŃŃĐ”ĐČĐŸĐłĐŸ ĐșĐ”ŃŃĐČĐ°ĐœĐœŃ ĐżĐŸĐČŃŃŃŃĐœĐžŃ
ĐżĐŸŃĐŸĐșŃĐČ, ŃĐŸĐ·ŃĐ°Ń
ŃĐœĐșŃ ĐșĐŸĐœŃŃĐłŃŃĐ°ŃŃŃ Đ»ŃĐœŃĐč ĐČĐžŃĐŸĐșŃ Ń ĐČĐžŃĐŸĐ±Đ»Đ”ĐœĐŸĐŒŃ ĐżŃĐŸŃŃĐŸŃŃ ŃĐ° ĐżŃĐž ĐŸŃŃĐœŃŃ Đ·ĐŒŃĐœĐž ĐČĐžŃĐŸĐșŃĐČ Ń Đ°ĐČĐ°ŃŃĐčĐœŃĐč ŃĐžŃŃĐ°ŃŃŃ Ń ŃĐŸĐ·ŃĐŸĐ±ŃŃ ĐŒĐ”ŃĐŸĐŽŃĐČ ĐșĐ”ŃŃĐČĐ°ĐœĐœŃ ĐœĐžĐŒĐž.The method of calculation losses of pressure of air in the mining workings at presence of leakages (inflows), which can be used for planning of the ventilation system of mine with the purpose of choice facilities of the local control of air blast, calculation of configuration lines of leakages in the worked out goaf and at estimation change of leakages in an emergency situation and development methods of control by them
Minimal Impact of Clinical Stage on Prostate Cancer Prognosis Among Contemporary Patients With Clinically Localized Disease
Early surgery prolongs professional activity in IDH mutant low-grade glioma patients: a policy change analysis
BackgroundUntil 2015, Dutch guidelines recommended follow-up and biopsy rather than surgery as initial care for suspected low-grade gliomas (LGG). Given evidence that surgery could extend patient survival, our center stopped following this guideline on January 1, 2010 and opted for early maximal safe resection of LGG. The effects of early surgery on the ability of patients to work remains little documented. MethodsA total of 104 patients operated on at our center between January 2000 and April 2013 and diagnosed with the WHO 2016 grade 2 astrocytoma, IDH mutant or oligodendroglioma, IDH mutant and deleted 1p19q were included. The clinical characteristics, survival, and work history of patients operated on before or after January 2010 were obtained from the patients' records and compared. The minimal follow-up was 8 years. ResultsAs per policy change, the interval between radiological diagnosis and first surgery decreased significantly after 2010. Likewise, before 2010, 25.8% of tumors were initially biopsied, 51.6% were resected under anesthesia, and 22.5% under awake conditions versus 14.3%, 23.8%, and 61.9% after this date (p < 0.001). The severity of permanent postoperative neurological deficits decreased after 2010. In total, 82.5% of the patients returned to work postoperatively before 2010 versus 100% after 2010. The postoperative control of epilepsy increased significantly after 2010 (74.4% vs. 47.9%). The median time from diagnosis to a definitive incapacity to work increased by more than 2 years after 2010 (88.7 vs. 62.2 months). ConclusionA policy shift towards early aggressive surgical treatment of IDH mutant LGG is safe and prolongs the patients' ability to work
ProCOC: The prostate cancer outcomes cohort study
BACKGROUND: Despite intensive research over the last several decades on prostate cancer, many questions particularly those concerning early diagnosis and the choice of optimal treatment for each individual patient, still remain unanswered. The goal of treating patients with localized prostate cancer is a curative one and includes minimizing adverse effects to preserve an adequate quality of life. Better understanding on how the quality of life is affected depending on the treatment modality would assist patients in deciding which treatment to choose; furthermore, the development of prognostic biomarkers that indicate the future course of the illness is a promising approach with potential and the focus of much attention. These questions can be addressed in the context of a cohort study. METHODS/DESIGN: This is a prospective, multi-center cohort study within the canton of Zurich, Switzerland. We will include patients with newly diagnosed localized prostate cancer independently of treatment finally chosen. We will acquire clinical data including quality of life and lifestyle, prostate tissue specimen as well as further biological samples (blood and urine) before, during and after treatment for setup of a bio-bank. Assessment of these data and samples in the follow up will be done during routine controls. Study duration will be at least ten years. Influence of treatment on morbidity and mortality, including changes in quality of life, will be identified and an evaluation of biomarkers will be performed. Further we intend to set up a bio-bank containing blood and urine samples providing research of various natures around prostate cancer in the future. DISCUSSION: We presume that this study will provide answers to pertinent questions concerning prognosis and outcomes of men with localised prostate cancer
Sharon Macdonald â Memorylands: Heritage and Identity in Europe Today
Memorylands: Heritage and Identity in Europe Today Ă© um livro de sĂntese que assinala o culminar de anos de trabalho da antropĂłloga britĂąnica Sharon Macdonald sobre os temas relacionados do patrimĂłnio, da memĂłria e da identidade em contextos europeus. Em Reimagining Culture: Histories, Identities and the Gaelic Renaissance, de 1997, situava o eixo analĂtico entre o local e o global, focando o seu olhar na questĂŁo dos muitos ârenascimentos identitĂĄriosâ de escala local e regional que Ă Ă©poca â..
Immunotoxins and Other Conjugates Containing Saporin-S6 for Cancer Therapy
Ribosome-inactivating proteins (RIPs) are a family of plant toxins that permanently damage ribosomes and possibly other cellular substrates, thus causing cell death. RIPs are mostly divided in two types: Type 1 RIPs that are single-chain enzymatic proteins, and type 2 RIPs that consist of an active A chain (similar to a type 1 RIP) linked to a B chain with lectin properties. RIP-containing conjugates have been used in many experimental strategies against cancer cells, often showing great efficacy in clinical trials. Saporin-S6, a type 1 RIP extracted from Saponaria officinalis L. seeds, has been extensively utilized to construct anti-cancer conjugates because of its high enzymatic activity, stability and resistance to conjugation procedures, resulting in the efficient killing of target cells. This review summarizes saporin-S6-containing conjugates and their application in cancer therapy, considering in-vitro and in-vivo studies both in animal models and in clinical trials. The review is structured on the basis of the targeting of hematological versus solid tumors and on the antigen recognized on the cell surface
Expression of circ_Satb1 is decreased in mesial temporal lobe epilepsy and regulates dendritic spine morphology
Mesial temporal lobe epilepsy (mTLE) is a chronic disease characterized by recurrent seizures that originate in the temporal lobes of the brain. Anti-epileptic drugs (AEDs) are the standard treatment for managing seizures in mTLE patients, but are frequently ineffective. Resective surgery is an option for some patients, but does not guarantee a postoperative seizure-free period. Therefore, further insight is needed into the pathogenesis of mTLE to enable the design of new therapeutic strategies. Circular RNAs (circRNAs) have been identified as important regulators of neuronal function and have been implicated in epilepsy. However, the mechanisms through which circRNAs contribute to epileptogenesis remain unknown. Here, we determine the circRNA transcriptome of the hippocampus and cortex of mTLE patients by using RNA-seq. We report 333 differentially expressed (DE) circRNAs between healthy individuals and mTLE patients, of which 23 circRNAs displayed significant adjusted p-values following multiple testing correction. Interestingly, hippocampal expression of circ_Satb1, a circRNA derived from special AT-rich sequence binding protein 1 (SATB1), is decreased in both mTLE patients and in experimental epilepsy. Our work shows that circ_Satb1 displays dynamic patterns of neuronal expression in vitro and in vivo. Further, circ_Satb1-specific knockdown using CRISPR/CasRx approaches in hippocampal cultures leads to defects in dendritic spine morphology, a cellular hallmark of mTLE. Overall, our results identify a novel epilepsy-associated circRNA with disease-specific expression and previously unidentified cellular effects that are relevant for epileptogenesis
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