Late-Onset Postpneumonectomy Empyema Presenting as Right-Sided Heart Failure: Extrinsic Right Atrial Compression

Although it is rare, the right atrium can be encroached on by abnormal mediastinal structures, including aortic aneurysms, carcinomas, hepatic cysts and diaphragmatic paralysis. Extrinsic compression of the right atrium causes significant hemodynamic compromise and can lead to fatal outcomes. We describe the case of a 66-year old man with a past history of pulmonary tuberculosis that had undergone right pneumonectomy 40 years previously. He then presented with signs and symptoms of right-sided heart failure. These new signs and symptoms were recognized to be secondary to extrinsic compression of the right atrium, which was due to late-onset postpneumonectomy empyema, and the signs and symptoms were successfully relieved by performing open drainage of the empyema

Prognostic significance of sealed-off perforation in colon cancer: a prospective cohort study

Background Perforated colon cancer is a rare complication, but has a high risk of recurrence. However, most studies have not distinguished sealed-off perforation from free perforation, and the prognosis is unclear. The aim of this study was to evaluate the oncologic outcome of colon cancer with sealed-off perforation. Methods Eighty-six consecutive patients who underwent resection for colon cancer with sealed-off or free perforation were included. We defined sealed-off perforation as a colon perforation with localized abscess identified on operative, computed tomography, or pathologic findings, with no evidence of free perforation, including fecal contamination and dirty fluid collection in the peritoneal cavity. Oncologic outcomes were compared between patients with colon cancer with sealed-off perforation and free perforation using a log-rank test and Cox regression analysis. Results The sealed-off perforation group included 62 patients, and 24 patients were in the free perforation group. TNM stage and lymphatic, venous, and perineural invasion were similar between the groups. The median follow-up period was 28.9 months (range 0–159). The sealed-off perforation group had better prognosis compared with the free perforation group in terms of progression-free survival (PFS) and overall survival (OS), although there were no statistically significant differences in PFS (5-year PFS 53.7% vs. 40.5%, p = 0.148; 5-year OS 53.6% vs. 22.9%, p = 0.001). However, in multivariable analysis using the Cox progression test, sealed-off perforation did not show a significant effect on cancer progression (p = 0.138) and OS (p = 0.727). Conclusions Colon cancer with sealed-off perforation showed no difference in prognosis compared with free perforation.Not applicable

Second-Line Irinotecan, Leucovorin, and 5-Fluorouracil for Gastric Cancer Patients after Failed Docetaxel and S-1

Background. This retrospective study aimed to assess the efficacy and toxicities of second-line chemotherapy with irinotecan, leucovorin, and 5-fluorouracil (5-FU) in metastatic gastric cancer (MGC) patients previously treated with docetaxel and S-1 with or without oxaliplatin (DS/DOS). Patients and Methods. We reviewed the data of patients who had previously been treated with first-line DS/DOS and received biweekly irinotecan-based chemotherapy (FOLFIRI/IFL) between October 2004 and November 2011. Results. A total of 209 cycles were administered to 35 patients, with a median of 4 (range, 1–22) cycles each. The overall response rate in 29 response-assessable patients was 17.2%, including 2 complete and 3 partial responses. The median progression-free and overall survivals were 3.81 (95% confidence interval [CI], 1.82–5.80) months and 6.24 (95% CI, 1.44–11.04) months, respectively. The major grade 3/4 toxicity was neutropenia (8.6%). Conclusion. FOLFIRI/IFL chemotherapy showed modest antitumour activity and tolerable toxicities in DS/DOS-treated MGC patients

Second-Line Irinotecan, Leucovorin, and 5-Fluorouracil for Gastric Cancer Patients after Failed Docetaxel and S-1

Background. This retrospective study aimed to assess the efficacy and toxicities of second-line chemotherapy with irinotecan, leucovorin, and 5-fluorouracil (5-FU) in metastatic gastric cancer (MGC) patients previously treated with docetaxel and S-1 with or without oxaliplatin (DS/DOS). Patients and Methods. We reviewed the data of patients who had previously been treated with firstline DS/DOS and received biweekly irinotecan-based chemotherapy (FOLFIRI/IFL) between October 2004 and November 2011. Results. A total of 209 cycles were administered to 35 patients, with a median of 4 (range, 1-22) cycles each. The overall response rate in 29 response-assessable patients was 17.2%, including 2 complete and 3 partial responses. The median progression-free and overall survivals were 3.81 (95% confidence interval [CI], 1.82-5.80) months and 6.24 (95% CI, 1.44-11.04) months, respectively. The major grade 3/4 toxicity was neutropenia (8.6%). Conclusion. FOLFIRI/IFL chemotherapy showed modest antitumour activity and tolerable toxicities in DS/DOS-treated MGC patients

Actinomyces meyeri Empyema: A Case Report and Review of the Literature

Actinomyces meyeri is an uncommon cause of human actinomycosis. Here, we report a rare case of empyema caused by A. meyeri. A 49-year-old male presented with a history of 10 days of dyspnea and chest pain. A large amount of loculated pleural effusion was present on the right side and multiple lung nodules were documented on radiological studies. A chest tube was inserted and purulent pleural fluid was drained. A. meyeri was isolated in anaerobic cultures of the pleural fluid. The infection was alleviated in response to treatment with intravenous penicillin G (20 million IU daily) and oral amoxicillin (500 mg every 8 hours) for 4 months, demonstrating that short-term antibiotic treatment was effective

A Drosophila Reporter for the Translational Activation of ATF4 Marks Stressed Cells during Development

<div><p>Eukaryotic cells have evolved signaling pathways that help to restore cellular homeostasis in response to various physiological or pathological conditions. ATF4 is a transcription factor whose mRNA translation is stimulated in response to stress-activated eIF2alpha kinases. Established conditions that activate eIF2alpha phosphorylation and ATF4 translation include excessive stress in the endoplasmic reticulum (ER) and amino acid deprivation. ATF4 is activated through a unique translational activation mechanism that involves multiple upstream open reading frames (uORFs) in the 5’-untranslated region (UTR), which is conserved from yeast to mammals. Taking advantage of this, we developed a translational activation reporter of ATF4 in <i>Drosophila</i>, in which the dsRed reporter coding sequence was placed downstream of the <i>Drosophila</i> ATF4 5’ UTR. This reporter remained inactive in most tissues under normal conditions, but showed dsRed expression when starved, or when challenged with conditions that imposed ER stress. In normally developing flies, a small number of cell types showed reporter expression even without exogenous stress, which included the salivary gland, gut, the male reproductive organ, and the photoreceptor cells, suggestive of inherent stress during the normal development of these cell types. These results establish a new tool to study ATF4-mediated stress response in <i>Drosophila</i> development and disease.</p></div

Microporous 3D Graphene-like Zeolite-Templated Carbons for Preferential Adsorption of Ethane

Microporous 3D graphene-like carbons were synthesized in Faujasite (FAU)-, EMT-, and beta-zeolite templates using the recently developed Ca2+ ion-catalyzed synthesis method. The microporous carbons liberated from these large-pore zeolites (0.7-0.9 nm) retain the structural regularity of zeolite. FAU-, EMT-, and beta zeolite-templated carbons (ZTCs) with faithfully constructed pore diameters of 1.2, 1.1, and 0.9 nm, respectively, and very large Brunauer-Emmet-Teller areas (2700-3200 m2 g-1) were obtained. We have discovered that these schwarzite-like carbons exhibit preferential adsorption of ethane over ethylene at pressures in the range of 1-10 bar. The curved graphene structure, consisting of a diverse range of carbon polygons with a narrow pore size of ∼1 nm, provides abundant adsorption sites in micropores and retains its ethane selectivity at pressures up to 10 bar. After varying the oxygen content in the beta ZTC, the ethane and ethylene adsorption isotherms show that the separation ability is not significantly affected by surface oxygen groups. Based on these adsorption results, a breakthrough separation procedure using a C2H4/C2H6 gas mixture (9:1 molar ratio) is demonstrated to produce ethylene with a purity of 99.9%11Nsciescopu

The uORFs of <i>Drosophila</i> ATF4 5′UTR mediate translation regulation.

<p>(A) Structure of the 5′ UTR of the <i>Drosophila</i> ATF4-RA mRNA. The two uORFs, such as uORF1 and uORF2, were present in the 5′ UTR. The uORF2 overlaps with the ATF4 ORF, but in a different reading frame. (B) The luciferase reporter construct used in this experiment. The green arrow represents the wild type version of uORF1 and uORF2, and the X indicates a mutation in the initiation codon at each uORF. (C) <i>Drosophila</i> S2 cells were transfected with the indicated ATF4-Luc plasmid and a control <i>Renilla</i> luciferase plasmid. The transfected cells were treated with 1mM of DTT for the indicated time points, 0, 4, and 8 h. Relative light units (RLU) indicates a ratio of firefly luciferase activity normalized with <i>Renilla</i> luciferase activity, and each value was derived from three independent transfections. Error bars show ± s.e.m. *p<0.05, **p<0.005.</p