57 research outputs found
Towards real-time metabolic profiling of a biopsy specimen during a surgical operation by 1H high resolution magic angle spinning nuclear magnetic resonance: a case report
<p>Abstract</p> <p>Introduction</p> <p>Providing information on cancerous tissue samples during a surgical operation can help surgeons delineate the limits of a tumoral invasion more reliably. Here, we describe the use of metabolic profiling of a colon biopsy specimen by high resolution magic angle spinning nuclear magnetic resonance spectroscopy to evaluate tumoral invasion during a simulated surgical operation.</p> <p>Case presentation</p> <p>Biopsy specimens (n = 9) originating from the excised right colon of a 66-year-old Caucasian women with an adenocarcinoma were automatically analyzed using a previously built statistical model.</p> <p>Conclusions</p> <p>Metabolic profiling results were in full agreement with those of a histopathological analysis. The time-response of the technique is sufficiently fast for it to be used effectively during a real operation (17 min/sample). Metabolic profiling has the potential to become a method to rapidly characterize cancerous biopsies in the operation theater.</p
Ki-67: level of evidence and methodological considerations for its role in the clinical management of breast cancer: analytical and critical review
Clinicians can use biomarkers to guide therapeutic decisions in estrogen receptor positive (ER+) breast cancer. One such biomarker is cellular proliferation as evaluated by Ki-67. This biomarker has been extensively studied and is easily assayed by histopathologists but it is not currently accepted as a standard. This review focuses on its prognostic and predictive value, and on methodological considerations for its measurement and the cut-points used for treatment decision. Data describing study design, patientsâ characteristics, methods used and results were extracted from papers published between January 1990 and July 2010. In addition, the studies were assessed using the REMARK tool. Ki-67 is an independent prognostic factor for disease-free survival (HR 1.05â1.72) in multivariate analyses studies using samples from randomized clinical trials with secondary central analysis of the biomarker. The level of evidence (LOE) was judged to be I-B with the recently revised definition of Simon. However, standardization of the techniques and scoring methods are needed for the integration of this biomarker in everyday practice. Ki-67 was not found to be predictive for long-term follow-up after chemotherapy. Nevertheless, high KI-67 was found to be associated with immediate pathological complete response in the neoadjuvant setting, with an LOE of II-B. The REMARK score improved over time (with a range of 6â13/20 vs. 10â18/20, before and after 2005, respectively). KI-67 could be considered as a prognostic biomarker for therapeutic decision. It is assessed with a simple assay that could be standardized. However, international guidelines are needed for routine clinical use
Annual (2023) taxonomic update of RNA-directed RNA polymerase-encoding negative-sense RNA viruses (realm Riboviria: kingdom Orthornavirae: phylum Negarnaviricota)
55 PĂĄg.In April 2023, following the annual International Committee on Taxonomy of Viruses (ICTV) ratification vote on newly proposed taxa, the phylum Negarnaviricota was amended and emended. The phylum was expanded by one new family, 14 new genera, and 140 new species. Two genera and 538 species were renamed. One species was moved, and four were abolished. This article presents the updated taxonomy of Negarnaviricota as now accepted by the ICTV.This work was supported in part through the Laulima Government Solutions, LLC, prime contract with the U.S. National Institute of Allergy and Infec tious Diseases (NIAID) under Contract No. HHSN272201800013C. J.H.K. performed this work as an employee of Tunnell Government Services (TGS), a subcontractor of Laulima Government Solutions, LLC, under Contract No. HHSN272201800013C. U.J.B. was supported by the Division of Intramural Resarch, NIAID. This work was also funded in part by Contract No. HSHQDC15-C-00064 awarded by DHS S and T for the management and operation of The National Biodefense Analysis and Countermeasures Centre, a federally funded research and development centre operated by the Battelle National Biodefense Institute (V.W.); and NIH contract HHSN272201000040I/HHSN27200004/D04 and grant R24AI120942 (N.V., R.B.T.). S.S. acknowl edges support from the Mississippi Agricultural and Forestry Experiment Station (MAFES), USDA-ARS project 58-6066-9-033 and the National Institute of Food and Agriculture, U.S. Department of Agriculture, Hatch Project, under Accession Number 1021494. The funders had no role in the design of the study; in the collection, analysis, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results. The views and conclusions contained in this document are those of the authors and should not be interpreted as necessarily representing the official policies, either expressed or implied, of the U.S. Department of the Army, the U.S. Department of Defence, the U.S. Department of Health and Human Services, including the Centres for Disease Control and Prevention, the U.S. Department of Homeland Security (DHS) Science and Technology Directorate (S and T), or of the institutions and companies affiliated with the authors. In no event shall any of these entities have any responsibility or liability for any use, misuse, inability to use, or reliance upon the information contained herein. The U.S. departments do not endorse any products or commercial services mentioned in this publication. The U.S. Government retains and the publisher, by accepting the article for publication, acknowledges that the U.S.Government retains a non-exclusive, paid up, irrevocable, world-wide license to publish or reproduce the published form of this manuscript, or allow others to do so, for U.S. Government purposes.Peer reviewe
CARCINOME TUBULEUX DU SEIN (DONNEES CLINIQUES ET ANATOMO-PATHOLOGIQUES ; A PROPOS D'UNE SERIE DE 71 CAS (DES ANATOMIE ET CYTOLOGIE PATHOLOGIQUES))
STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF
Calcul du coût d'un prélÚvement cryopréservé au CRB des HÎpitaux Universitaires de Strasbourg (Définition des prix de nos prestations.)
STRASBOURG-Medecine (674822101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF
Relation entre le prix du pétrole et les cours boursiers des grandes compagnies pétroliÚres mondiales
The paper explains how stock price of oil companies depends on oil futures market price. The model is applied to major oil company stocks: Shell, Exxon Mobil, BP, Total and Chevron. The topic is original because it focuses on shortâ and longâterm relationships with vector error correction models (VECM) with changing regimes.To get structural model between stock price of oil companies and oil futures market price, investigation is oriented to cointegration link with autoregressive vector (VAR). Research is conducted in using monthly data from November 1989 to June 2011. The stationarity of times series is tested with DickeyâFuller unit root test, PhilipsâPerron and KPSS. The approaches of EngleâGranger and Johansen do not enable to find longâterm relationship over the overall period.However, cointegration with 5 changing regimes is found. The Bai and Perron approach enables to find 5 breakpoints. In order to identify cointegration relationships with changing regimes, the Gregory and Hansen method is used and results show cointegration with changing regimes. Vector error correction (VEC) models associated to cointegration with changing regimes are estimated. VEC looks at the dynamics on the shortâterm.Then economic and financial analysis is done and choc analysis is implemented with impulse response function. Furthermore, ARCHâLM test shows the existence of an ARCH vectorial model.The paper shows how recent cointegration techniques are useful in including endogenous structural breaks leading to changing regimes.Further investigations could be done to estimate whether one could be able to hedge commodity price fluctuations in using stocks whose markets are a lot more liquid.This modeling will be extended by shortâterm construction of models incorporating changing regimes with Markovian approach MSâVAR and MSâVECM.La recherche explique comment le cours des actions des compagnies pĂ©troliĂšres dĂ©pend du prix Ă terme du pĂ©trole. La modĂ©lisation est appliquĂ©e aux principales compagnies pĂ©troliĂšres Shell: Exxon Mobil, BP, Total et Chevron. La recherche est originale car elle porte sur les relations Ă court et long terme Ă partir de modĂšles Ă correction d'erreur vectorielle (VECM) avec changements de rĂ©gime.La modĂ©lisation structurelle, entre le cours des actions des compagnies pĂ©troliĂšres et le prix Ă terme du pĂ©trole, est menĂ©e Ă partir de modĂšles de dâautorĂ©gression vectorielle (VAR) en lien avec la cointĂ©gration. La recherche est conduite en utilisant des donnĂ©es mensuelles de novembre 1989 Ă juin 2011. La stationnaritĂ© des sĂ©ries temporelles est testĂ©e avec les tests de DickeyâFuller, PhilipsâPerron et KPSS. Les approches dâEngleâGranger et Johansen ne permettent pas de trouver une relation de long terme sur toute la pĂ©riode.Cependant, lâapproche de Bai et Perron permet dâidentifier 5 changements de rĂ©gime et de modĂ©liser des relations de cointĂ©gration diffĂ©rentes sur ces sousâpĂ©riodes. Afin d'identifier les relations de cointĂ©gration Ă changements de rĂ©gime, la mĂ©thode Gregory et Hansen est utilisĂ©e et les rĂ©sultats montrent une cointĂ©gration avec des changements de rĂ©gime. Les VECM associĂ©s Ă la cointĂ©gration avec changements de rĂ©gime sont estimĂ©s. Le VECM permet de comprendre la dynamique sur le court terme. Puis l'analyse Ă©conomique et financiĂšre est faite. Lâanalyse de choc est mise en oeuvre avec la fonction de rĂ©ponse impulsionnelle. De plus, le test ARCHâLM montre l'existence d'un modĂšle ARCH vectoriel.La recherche indique comment les derniĂšres techniques de cointĂ©gration sont utiles notamment en incluant des ruptures structurelles endogĂšnes menant Ă des Ă©volutions de rĂ©gimes.D'autres recherches seront effectuĂ©es pour estimer si l'on peut couvrir les risques de fluctuations des prix des matiĂšres premiĂšres en utilisant les cours boursiers des entreprises cotĂ©es dans des marchĂ©s beaucoup plus liquides.Cette modĂ©lisation sera complĂ©tĂ©e par la construction de modĂšles de court terme incorporant des changements de rĂ©gime avec lâapproche markovienne MSâVAR et MSâVECM
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