731 research outputs found
Tumour basement membrane laminin expression predicts outcome following curative resection of pancreatic head cancer
Cost-effectiveness of sentinel lymph node biopsy vs inguinofemoral lymphadenectomy in women with vulval cancer
background: This study examines the cost-effectiveness of sentinel lymph node biopsy, a potentially less morbid procedure, compared with inguinofemoral lymphadenectomy (IFL) among women with stage I and stage II vulval squamous cell carcinoma. methods: A model-based economic evaluation was undertaken based on clinical evidence from a systematic review of published sources. A decision tree model was developed with the structure being informed by clinical input, taking the perspective of the health-care provider. results: For overall survival for 2 years, IFL was found to be the most cost-effective option and dominated all other strategies, being the least costly and most effective. For morbidity-free related outcomes for 2 years, sentinel lymph node (SLN) biopsy with 99mTc and blue dye and haematoxylin & eosin (H&E) histopathology, with ultrastaging and immunohistochemistry reserved for those that test negative following H&E is likely to be the most effective approach. conclusion: SLN biopsy using 99mTc and blue dye with ultrastaging may be considered the most cost-effective strategy based on the outcome of survival free of morbidity for 2 years. The findings here also indicate that using blue dye and H&E for the identification of the SLN and the identification of metastasis, respectively, are not sensitive enough to be used on their own
A comparison of a new multinomial stopping rule with stopping rules of fleming and gehan in single arm phase II cancer clinical trials
Lepton Number Violation from Colored States at the LHC
The possibility to search for lepton number violating signals at the Large
Hadron Collider (LHC) in the colored seesaw scenario is investigated. In this
context the fields that generate neutrino masses at the one-loop level are
scalar and Majorana fermionic color-octets of SU(3). Due to the QCD strong
interaction these states may be produced at the LHC with a favorable rate. We
study the production mechanisms and decays relevant to search for lepton number
violation signals in the channels with same-sign dileptons. In the simplest
case when the two fermionic color-octets are degenerate in mass, one could use
their decays to distinguish between the neutrino spectra. We find that for
fermionic octets with mass up to about 1 TeV the number of same-sign dilepton
events is larger than the standard model background indicating a promising
signal for new physics.Comment: minor corrections, added reference
Beyond the standard seesaw: neutrino masses from Kahler operators and broken supersymmetry
We investigate supersymmetric scenarios in which neutrino masses are
generated by effective d=6 operators in the Kahler potential, rather than by
the standard d=5 superpotential operator. First, we discuss some general
features of such effective operators, also including SUSY-breaking insertions,
and compute the relevant renormalization group equations. Contributions to
neutrino masses arise at low energy both at the tree level and through finite
threshold corrections. In the second part we present simple explicit
realizations in which those Kahler operators arise by integrating out heavy
SU(2)_W triplets, as in the type II seesaw. Distinct scenarios emerge,
depending on the mechanism and the scale of SUSY-breaking mediation. In
particular, we propose an appealing and economical picture in which the heavy
seesaw mediators are also messengers of SUSY breaking. In this case, strong
correlations exist among neutrino parameters, sparticle and Higgs masses, as
well as lepton flavour violating processes. Hence, this scenario can be tested
at high-energy colliders, such as the LHC, and at lower energy experiments that
measure neutrino parameters or search for rare lepton decays.Comment: LaTeX, 34 pages; some corrections in Section
The Effects and Efficacy of Antireflux Surgery in Children with Gastroesophageal Reflux Disease: A Systematic Review
ACE (I/D) polymorphism and response to treatment in coronary artery disease: a comprehensive database and meta-analysis involving study quality evaluation
<p>Abstract</p> <p>Background</p> <p>The role of angiotensin-converting enzyme (<it>ACE</it>) gene insertion/deletion (<it>I/D</it>) polymorphism in modifying the response to treatment modalities in coronary artery disease is controversial.</p> <p>Methods</p> <p>PubMed was searched and a database of 58 studies with detailed information regarding <it>ACE I/D </it>polymorphism and response to treatment in coronary artery disease was created. Eligible studies were synthesized using meta-analysis methods, including cumulative meta-analysis. Heterogeneity and study quality issues were explored.</p> <p>Results</p> <p>Forty studies involved invasive treatments (coronary angioplasty or coronary artery by-pass grafting) and 18 used conservative treatment options (including anti-hypertensive drugs, lipid lowering therapy and cardiac rehabilitation procedures). Clinical outcomes were investigated by 11 studies, while 47 studies focused on surrogate endpoints. The most studied outcome was the restenosis following coronary angioplasty (34 studies). Heterogeneity among studies (p < 0.01) was revealed and the risk of restenosis following balloon angioplasty was significant under an additive model: the random effects odds ratio was 1.42 (95% confidence interval:1.07–1.91). Cumulative meta-analysis showed a trend of association as information accumulates. The results were affected by population origin and study quality criteria. The meta-analyses for the risk of restenosis following stent angioplasty or after angioplasty and treatment with angiotensin-converting enzyme inhibitors produced non-significant results. The allele contrast random effects odds ratios with the 95% confidence intervals were 1.04(0.92–1.16) and 1.10(0.81–1.48), respectively. Regarding the effect of <it>ACE I/D </it>polymorphism on the response to treatment for the rest outcomes (coronary events, endothelial dysfunction, left ventricular remodeling, progression/regression of atherosclerosis), individual studies showed significance; however, results were discrepant and inconsistent.</p> <p>Conclusion</p> <p>In view of available evidence, genetic testing of <it>ACE I/D </it>polymorphism prior to clinical decision making is not currently justified. The relation between <it>ACE </it>genetic variation and response to treatment in CAD remains an unresolved issue. The results of long-term and properly designed prospective studies hold the promise for pharmacogenetically tailored therapy in CAD.</p
Physiology and biochemistry of reduction of azo compounds by Shewanella strains relevant to electron transport chain
Azo dyes are toxic, highly persistent, and ubiquitously distributed in the environments. The large-scale production and application of azo dyes result in serious environmental pollution of water and sediments. Bacterial azo reduction is an important process for removing this group of contaminants. Recent advances in this area of research reveal that azo reduction by Shewanella strains is coupled to the oxidation of electron donors and linked to the electron transport and energy conservation in the cell membrane. Up to date, several key molecular components involved in this reaction have been identified and the primary electron transportation system has been proposed. These new discoveries on the respiration pathways and electron transfer for bacterial azo reduction has potential biotechnological implications in cleaning up contaminated sites
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