International evaluation of the psychometrics of health-related quality of life questionnaires for use among long-term survivors of testicular and prostate cancer

Background: Understanding of the physical, functional and psychosocial health problems and needs of cancer survivors requires cross-national and cross-cultural standardization of health-related quality of life (HRQoL) questionnaires that capture the full range of issues relevant to cancer survivors. To our knowledge, only one study has investigated in a comprehensive way whether a questionnaire used to evaluate HRQoL in cancer patients under active treatment is also reliable and valid when used among (long-term) cancer survivors. In this study we evaluated, in an international context, the psychometrics of HRQoL questionnaires for use among long-term, disease-free, survivors of testicular and prostate cancer. Methods: In this cross-sectional study, we recruited long-term survivors of testicular and prostate cancer from Northern and Southern Europe and from the United Kingdom who had participated in two phase III EORTC clinical trials. Participants completed the SF-36 Health Survey, the EORTC QLQ-C30 questionnaire, the QLQ-PR25 (for prostate cancer) or the QLQ-TC26 (for testicular cancer) questionnaires, and the Impact of Cancer questionnaire. Testicular cancer survivors also completed subscales from the Nordic Questionnaire for Monitoring the Age Diverse Workforce. Results: Two hundred forty-two men (66% response rate) were recruited into the study. The average time since treatment was more than 10 years. Overall, there were few missing questionnaire data, although scales related to sexuality, satisfaction with care and relationship concern

Fração total de células mononucleares intra-articular em cães submetidos à reconstrução do ligamento cruzado Total fraction of mononuclear intra-articular cells in dogs undergoing cruciate ligament reconstruction

Avaliou-sea ação da fração total de células mononucleares autógenas da medula óssea (FCMO) por aplicação intra-articular, após a correção cirúrgica do ligamento cruzado rompido. Foram utilizados 20 cães, os quais sofreram desmotomia do ligamento cruzado cranial e caudal unilaterais, 21 dias antes do reparo cirúrgico. Dez animais receberam as células autógenas no momento da correção. As avaliações se deram por estudo radiográfico, exames clínicos e biópsias aos 50 e 90 dias pós-operatórios. O grupo que recebeu a FCMO apresentou crescimento ósseo intra-articular ao estudo radiográfico, contudo os 20 animais apresentaram célulasCD34 positivas em suas amostras biopsiadas, indicando haver presença de células-tronco em ambos os grupos. Conclui-se que,para o modelo experimental proposto, não se recomenda o uso da fração total de células mononucleares e que trabalhos experimentais com o uso de células-tronco nas articulações devem evitar modelos cujo foco de lesão mantenha contato direto com a medula óssea.<br>This study was performed to evaluate the action of the fraction of total mononuclear cells from the bone marrow (FCMO) applied intra-articularly after the surgical repair of an experimentally ruptured cruciate ligament. Twenty dogs which suffered one-sided cruciate desmotomy of the cranial and caudal cruciate ligament 21 days before the correction were used. Ten animals received the FCMO at the time of correction. The assessments were done through X-ray and clinical examinations, and biopsies at 50 and 90 days postoperatively. It was concluded that there was no clinical difference between the two groups until 90 days of evaluation. The group that received FCMO grew intra-articular bone shown on the X-ray study. All twenty animals, however, presented cells marked with CD34 antibodies on their biopsy samples, indicating the presence of stem cells in both groups. It is concluded thatfor theexperimental model, it is not recommended to use the mononuclear cell fraction,andin experimental studies with the use of stem cells in the joints models whose focus of injury keep direct contact with the bone marrow should be avoided

Fração total de células mononucleares intra-articular em cães submetidos à reconstrução do ligamento cruzado

Avaliou-sea ação da fração total de células mononucleares autógenas da medula óssea (FCMO) por aplicação intra-articular, após a correção cirúrgica do ligamento cruzado rompido. Foram utilizados 20 cães, os quais sofreram desmotomia do ligamento cruzado cranial e caudal unilaterais, 21 dias antes do reparo cirúrgico. Dez animais receberam as células autógenas no momento da correção. As avaliações se deram por estudo radiográfico, exames clínicos e biópsias aos 50 e 90 dias pós-operatórios. O grupo que recebeu a FCMO apresentou crescimento ósseo intra-articular ao estudo radiográfico, contudo os 20 animais apresentaram célulasCD34 positivas em suas amostras biopsiadas, indicando haver presença de células-tronco em ambos os grupos. Conclui-se que,para o modelo experimental proposto, não se recomenda o uso da fração total de células mononucleares e que trabalhos experimentais com o uso de células-tronco nas articulações devem evitar modelos cujo foco de lesão mantenha contato direto com a medula óssea

Amazon methane budget derived from multi-year airborne observations highlights regional variations in emissions

Atmospheric methane concentrations were nearly constant between 1999 and 2006, but have been rising since by an average of ~8 ppb per year. Increases in wetland emissions, the largest natural global methane source, may be partly responsible for this rise. The scarcity of in situ atmospheric methane observations in tropical regions may be one source of large disparities between top-down and bottom-up estimates. Here we present 590 lower-troposphere vertical profiles of methane concentration from four sites across Amazonia between 2010 and 2018. We find that Amazonia emits 46.2 ± 10.3 Tg of methane per year (~8% of global emissions) with no temporal trend. Based on carbon monoxide, 17% of the sources are from biomass burning with the remainder (83%) attributable mainly to wetlands. Northwest-central Amazon emissions are nearly aseasonal, consistent with weak precipitation seasonality, while southern emissions are strongly seasonal linked to soil water seasonality. We also find a distinct east-west contrast with large fluxes in the northeast, the cause of which is currently unclear

CO2 emissions in the Amazon: are bottom-up estimates from land use and cover datasets consistent with top-down estimates based on atmospheric measurements?

Amazon forests are the largest forests in the tropics and play a fundamental role for regional and global ecosystem service provision. However, they are under threat primarily from deforestation. Amazonia's carbon balance trend reflects the condition of its forests. There are different approaches to estimate large-scale carbon balances, including top-down (e.g., CO2 atmospheric measurements combined with atmospheric transport information) and bottom-up (e.g., land use and cover change (LUCC) data based on remote sensing methods). It is important to understand their similarities and differences. Here we provide bottom-up LUCC estimates and determine to what extent they are consistent with recent top-down flux estimates during 2010 to 2018 for the Brazilian Amazon. We combine LUCC datasets resulting in annual LUCC maps from 2010 to 2018 with emissions and removals for each LUCC, and compare the resulting CO2 estimates with top-down estimates based on atmospheric measurements. We take into account forest carbon stock maps for estimating loss processes, and carbon uptake of regenerating and mature forests. In the bottom-up approach total CO2 emissions (2010 to 2018), deforestation and degradation are the largest contributing processes accounting for 58% (4.3 PgCO2) and 37% (2.7 PgCO2) respectively. Looking at the total carbon uptake, primary forests play a dominant role accounting for 79% (−5.9 PgCO2) and secondary forest growth for 17% (−1.2 PgCO2). Overall, according to our bottom-up estimates the Brazilian Amazon is a carbon sink until 2014 and a source from 2015 to 2018. In contrast according to the top-down approach the Brazilian Amazon is a source during the entire period. Both approaches estimate largest emissions in 2016. During the period where flux signs are the same (2015–2018) top-down estimates are approximately 3 times larger in 2015–2016 than bottom-up estimates while in 2017–2018 there is closer agreement. There is some agreement between the approaches–notably that the Brazilian Amazon has been a source during 2015–2018 however there are also disagreements. Generally, emissions estimated by the bottom-up approach tend to be lower. Understanding the differences will help improve both approaches and our understanding of the Amazon carbon cycle under human pressure and climate change