Liver and pancreas transplantation in Europe – and in Hungary

Liver transplantation (LT) is the sole treatment modality of most of diffuse liver diseases. Simultaneous-pancreas-kidney (SPK) transplantation is also a life saving operation for IDDM patients. Both procedures are established treatment options in the European Community (EC) and in the US. These procedures are performed in a significantly smaller number in Hungary. Having a larger demand for LT than the supply of cadaver donors alternative solutions are sought to increase the number of transplantable livers. In Hungary partly the shortage of donors and the shortage of recipients are the factors rendering the number of LTs and SPKs low. These factors can be changed by better organisation and good survival data that make the two procedures accepted by the community of physicians

Pročišćavanje čelika optimiranjem konfiguracije međulonca

In continuous casting process, liquid steel flows through the tundish, which is supposed to operate as a continuous refining finisher. To provide a functionality of such a device, a pack of tundish metallurgy techniques must be applied, whose efficiency is conditioned especially with optimal symmetrical and dynamical melt flow. Flow optimizing can be achieved through the shaping of inside tundish configuration, using flow control devices such as turbulence inhibitors, impact pads, baffles, weirs, dams, etc. The theme of the present paper is the precise employment of a turbulence inhibitor, commercially known as TURBOSTOPTM, together with a pair of baffles & a flat impact pad in slab custer to improve steel cleanliness and a fluid flow phenomenon in a two strands tundish.Tijekom procesa kontinuiranog lijevanja tekući čelik prolazi kroz međulonac koji funkcionira kao kontinuirani uređaj za završnu doradu rafiniranjem. Za osiguranje funkcioniranja takvog uređaja mora se primijeniti tehnika metalurgije međulonca čija učinkovitost je uvjetovana naročito optimalnim simetrijskim i dinamičkim tečenjem taline. Optimalizacija protoka se može postići oblikovanjem unutrašnje konfiguracije međulonca uporabom takvih uređaja za kontrolu protoka kao što su inhibitori turbulencije, zadebljanje za ublažavanje udaraca, pregradne ploče, brane itd. Tema ovog rada je točna primjena inhibitora turbulencije poznatog pod trgovačkim nazivom TURBOSTOPTM, zajedno s parom skretnih pregrada i ravnim zadebljanjem za ublažavanje udaraca u lijevanom slabu radi poboljšanja čistoće čelika i fenomena toka fluida u dvije žile međulonca

Comparative Network Analysis of Preterm vs. Full-Term Infant-Mother Interactions

Several studies have reported that interactions of mothers with preterm infants show differential characteristics compared to that of mothers with full-term infants. Interaction of preterm dyads is often reported as less harmonious. However, observations and explanations concerning the underlying mechanisms are inconsistent. In this work 30 preterm and 42 full-term mother-infant dyads were observed at one year of age. Free play interactions were videotaped and coded using a micro-analytic coding system. The video records were coded at one second resolution and studied by a novel approach using network analysis tools. The advantage of our approach is that it reveals the patterns of behavioral transitions in the interactions. We found that the most frequent behavioral transitions are the same in the two groups. However, we have identified several high and lower frequency transitions which occur significantly more often in the preterm or full-term group. Our analysis also suggests that the variability of behavioral transitions is significantly higher in the preterm group. This higher variability is mostly resulted from the diversity of transitions involving non-harmonious behaviors. We have identified a maladaptive pattern in the maternal behavior in the preterm group, involving intrusiveness and disengagement. Application of the approach reported in this paper to longitudinal data could elucidate whether these maladaptive maternal behavioral changes place the infant at risk for later emotional, cognitive and behavioral disturbance

Moho depths beneath the European Alps: a homogeneously processed map and receiver functions database

We use seismic waveform data from the AlpArray Seismic Network and three other temporary seismic networks, to perform receiver function (RF) calculations and time-to-depth migration to update the knowledge of the Moho discontinuity beneath the broader European Alps. In particular, we set up a homogeneous processing scheme to compute RFs using the time-domain iterative deconvolution method and apply consistent quality control to yield 112 205 high-quality RFs. We then perform time-to-depth migration in a newly implemented 3D spherical coordinate system using a European-scale reference P and S wave velocity model. This approach, together with the dense data coverage, provide us with a 3D migrated volume, from which we present migrated profiles that reflect the first-order crustal thickness structure. We create a detailed Moho map by manually picking the discontinuity in a set of orthogonal profiles covering the entire area. We make the RF dataset, the software for the entire processing workflow, as well as the Moho map, openly available; these open-access datasets and results will allow other researchers to build on the current study.</p

Detection of methylated septin 9 in tissue and plasma of colorectal patients with neoplasia and the relationship to the amount of circulating cell-free DNA

BACKGROUND: Determination of methylated Septin 9 (mSEPT9) in plasma has been shown to be a sensitive and specific biomarker for colorectal cancer (CRC). However, the relationship between methylated DNA in plasma and colon tissue of the same subjects has not been reported. METHODS: Plasma and matching biopsy samples were collected from 24 patients with no evidence of disease (NED), 26 patients with adenoma and 34 patients with CRC. Following bisulfite conversion of DNA a commercial RT-PCR assay was used to determine the total amount of DNA in each sample and the fraction of mSEPT9 DNA. The Septin-9 protein was assessed using immunohistochemistry. RESULTS: The percent of methylated reference (PMR) values for SEPT9 above a PMR threshold of 1% were detected in 4.2% (1/24) of NED, 100% (26/26) of adenoma and 97.1% (33/34) of CRC tissues. PMR differences between NED vs. adenoma and NED vs. CRC comparisons were significant (p<0.001). In matching plasma samples using a PMR cut-off level of 0.01%, SEPT9 methylation was 8.3% (2/24) of NED, 30.8% (8/26) of adenoma and 88.2% (30/34) of CRC. Significant PMR differences were observed between NED vs. CRC (p<0.01) and adenoma vs. CRC (p<0.01). Significant differences (p<0.01) were found in the amount of cfDNA (circulating cell-free DNA) between NED and CRC, and a modest correlation was observed between mSEPT9 concentration and cfDNA of cancer (R2 = 0.48). The level of Septin-9 protein in tissues was inversely correlated to mSEPT9 levels with abundant expression in normals, and diminished expression in adenomas and tumors. CONCLUSIONS: Methylated SEPT9 was detected in all tissue samples. In plasma samples, elevated mSEPT9 values were detected in CRC, but not in adenomas. Tissue levels of mSEPT9 alone are not sufficient to predict mSEPT9 levels in plasma. Additional parameters including the amount of cfDNA in plasma appear to also play a role

Sporadic Colorectal Cancer Development Shows Rejuvenescence Regarding Epithelial Proliferation and Apoptosis

Background and Aims: Sporadic colorectal cancer (CRC) development is a sequential process showing age-dependency, uncontrolled epithelial proliferation and decreased apoptosis. During juvenile growth cellular proliferation and apoptosis are well balanced, which may be perturbed upon aging. Our aim was to correlate proliferative and apoptotic activities in aging human colonic epithelium and colorectal cancer. We also tested the underlying molecular biology concerning the proliferation- and apoptosis-regulating gene expression alterations. Materials and Methods: Colorectal biopsies from healthy children (n1 = 14), healthy adults (n2 = 10), adult adenomas (n3 = 10) and CRCs (n4 = 10) in adults were tested for Ki-67 immunohistochemistry and TUNEL apoptosis assay. Mitosis- and apoptosis-related gene expression was also studied in healthy children (n1 = 6), adult (n2 = 41) samples and in CRC (n3 = 34) in HGU133plus2.0 microarray platform. Measured alterations were confirmed with RT-PCR both on dependent and independent sample sets (n1=6, n2=6, n3 = 6). Results: Mitotic index (MI) was significantly higher (p,0.05) in intact juvenile (MI = 0.3360.06) and CRC samples (MI = 0.4260.10) compared to healthy adult samples (MI = 0.1560.06). In contrast, apoptotic index (AI) was decreased in children (0.1360.06) and significantly lower in cancer (0.0660.03) compared to healthy adult samples (0.1760.05). Eight proliferation- (e.g. MKI67, CCNE1) and 11 apoptosis-associated genes (e.g. TNFSF10, IFI6) had altered mRNA expression both in the course of normal aging and carcinogenesis, mainly inducing proliferation and reducing apoptosis compared to healthy adults. Eight proliferation-associated genes including CCND1, CDK1, CDK6 and 26 apoptosis-regulating genes (e.g. SOCS3) were differently expressed between juvenile and cancer groups mostly supporting the pronounced cell growth in CRC. Conclusion: Colorectal samples from children and CRC patients can be characterized by similarly increased proliferative and decreased apoptotic activities compared to healthy colonic samples from adults. Therefore, cell kinetic alterations during colorectal cancer development show uncontrolled rejuvenescence as opposed to the controlled cell growth in juvenile colonic epithelium