Presentación, clasificación y evolución de los pacientes con carcinoma hepatocelular en un centro de Veracruz, México

ResumenAntecedentesLa estadificación en el carcinoma hepatocelular (CHC) otorga pronóstico y orientación terapéutica. La resección y el trasplante hepático son opciones curativas y las terapias de ablación se aplican a pacientes que no reciben tratamiento curativo. La sobrevida tras la resección hepática o terapias de ablación es variada.ObjetivoDescribir la presentación, la estadificación, el manejo y la evolución de los pacientes con CHC en nuestro centro.Pacientes y métodosCuarenta y dos pacientes fueron seguidos prospectivamente durante 7 años. La sobrevida se calculó mediante Kaplan-Meier y log-rank entre los sistemas de estadificación (Okuda, BCLC y CLIP) y tipos de tratamiento (resección hepática, ablación por radiofrecuencia y ningún tratamiento quirúrgico).ResultadosLa edad media ± desviación estándar de los pacientes fue 68,9 ± 9,5 años; el 57% fueron mujeres y el 54% cirróticos. El 31% tenía infección por VHC. El tamaño medio del tumor fue 6.48 ± 2.52cm. Los estadios CLIP 0, Okuda I y BCLC A tuvieron mejor sobrevida que otros estadios (p<0.05). La resección tuvo mejor sobrevida (mediana: 32 meses y sobrevida a 1, 3 y 5 años del 83, el 39 y 19.7%) que ablación por radiofrecuencia (25 meses, y el 90 y el 17.2% a 1 y 3 años) y que ningún tratamiento quirúrgico (1 año<5%) (p<0.05).ConclusiónLos pacientes con CHC en nuestro centro al igual que otra población en México son diagnosticados tardíamente. El pronóstico usando CLIP y BCLC es similar a la literatura. Los mejores resultados se observaron en estadios tempranos y los que tuvieron resección quirúrgica del CHC.AbstractBackgroundHepatocellular carcinoma (HCC) staging provides a basis for calculating disease prognosis and therapeutic guidance. Liver resection and transplantation are curative options, and ablation therapies are applied to patients that are not candidates for curative treatment. Survival after liver resection or ablation therapies varies.AimsTo describe the presentation, staging, management, and outcome in patients with HCC in our center.Patients and methodsForty-two patients had a 7-year prospective follow-up. Survival was calculated with the Kaplan-Meier analysis and the log-rank test was used for its comparison between the staging systems (Okuda, BCLC, and CLIP) and types of treatment (liver resection, radiofrequency ablation, and no surgical treatment).ResultsThe mean age of the patients was 68.9 ± 9.5 years; 57% were women. A total of 54% of the patients presented with cirrhosis and 31% were infected with hepatitis C virus (HCV). The mean tumor size was 6.48 ± 2.52cm. The CLIP 0, Okuda I, and BCLC A stages had better survival rates than the other stages (P<0.05). Survival with resection was superior (median of 32 months and survival at 1, 3, and 5 years of 83, 39, and 19.7%, respectively) to that of both radiofrequency ablation (median of 25 months and survival at 1 and 3 years of 90 and 17.2%, respectively) and no surgical treatment (1 year < 5%) (P<0.05).ConclusionThe patients at our center were diagnosed at late stages of HCC, as is the case in other Mexican populations. Outcome in relation to CLIP and BCLC was similar to the prognoses reported in the literature. The best results were observed in the patients with early stage disease and those that underwent HCC resection surgery

Nebular abundances of southern symbiotic stars

We have calculated relative elemental abundances for a sample of 43 symbiotic stars. Helium abundances and the relative elemental abundances N/O, Ne/O, Ar/O were derived from new spectra collected in the optical range through low dispersion spectroscopy. The He ionic abundances were derived taking into account self-absorption effects in Balmer lines. We found that the symbiotic stars in the galactic bulge have heavy element abundances showing the same wide distribution as other bulge objects. In the galactic disk, the symbiotic stars follow the abundance gradient as derived from different kinds of objects.Comment: 12 pages, 6 figures, A&A - accepte

Gargantuan hail in Argentina

On 8 February 2018, a supercell storm produced gargantuan (>15 cm or >6 in. in maximum dimension) hail as it moved over the heavily populated city of Villa Carlos Paz in Córdoba Province, Argentina. Observations of gargantuan hail are quite rare, but the large population density here yielded numerous witnesses and social media pictures and videos from this event that document multiple large hailstones. The storm was also sampled by the newly installed operational polarimetric C-band radar in Córdoba. During the RELAMPAGO campaign, the authors interviewed local residents about their accounts of the storm and uncovered additional social media video and photographs revealing extremely large hail at multiple locations in town. This article documents the case, including the meteorological conditions supporting the storm (with the aid of a high-resolution WRF simulation), the storm's observed radar signatures, and three noteworthy hailstones observed by residents. These hailstones include a freezer-preserved 4.48-in. (11.38 cm) maximum dimension stone that was scanned with a 3D infrared laser scanner, a 7.1-in. (18 cm) maximum dimension stone, and a hailstone photogrammetrically estimated to be between 7.4 and 9.3 in. (18.8-23.7 cm) in maximum dimension, which is close to or exceeds the world record for maximum dimension. Such a well-observed case is an important step forward in understanding environments and storms that produce gargantuan hail, and ultimately how to anticipate and detect such extreme events.Fil: Kumjian, Matthew R.. State University of Pennsylvania; Estados UnidosFil: Gutierrez, Rachel. State University of Pennsylvania; Estados UnidosFil: Soderholm, Joshua S.. Universitat Bonn; AlemaniaFil: Nesbitt, Stephen William. University of Illinois at Urbana; Estados UnidosFil: Maldonado, Paula Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Luna, Lorena Medina. National Center for Atmospheric Research; Estados UnidosFil: Marquis, James. Pacific Northwest National Laboratory; Estados UnidosFil: Bowley, Kevin A.. State University of Pennsylvania; Estados UnidosFil: Alvarez Imaz, María de Los Milagros. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Salio, Paola Veronica. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; Argentin

Gargantuan Hail Documenting an Extreme Forecasting Challenge

I n the scientific literature, some studies have identified “giant” hail as those stones with maximum dimensions exceeding 10 cm or 4 in. We propose a new size class for hailstones with maximum dimensions exceeding 15 cm or 6 in. (referred to here as “gargantuan hail”) to represent the upper extreme of hail sizes. As these are rare cases, only a few studies have specifically documented giant and gargantuan hail events, and most are individual case studies. One study of giant and gargantuan hailstones from the Aurora, Nebraska, storm of 2003 showed that every stone evaluated exhibited an outer (i.e., final) growth layer indicating wet growth, and in some cases this layer was of quite substantial thickness. Another study used social media reports to identify giant hail that ultimately became certified state records. It suggested that the occurrence of giant or gargantuan hail is significantly underreported. None of the aforementioned studies focused on observedtorm properties or environments. In con- trast, a 2013 study documented the synoptic and mesoscale environment of the super- cell that produced the Vivian, South Dakota, hailstone (which registers as the world re- cord for maximum dimension of 20 cm or 8 in.). Analysis indicated that the environment was indeed supportive of severe convective storms, but not indicative of such large hail as was observedFil: Kumjian, Matthew R.. State University of Pennsylvania; Estados UnidosFil: Gutierrez, Rachel. State University of Pennsylvania; Estados UnidosFil: Soderholm, Joshua S.. State University of Pennsylvania; Estados UnidosFil: Nesbitt, Stephen William. University of Illinois at Urbana; Estados UnidosFil: Maldonado, Paula Soledad. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Medina Luna, Lorena. National Center for Atmospheric Research; Estados UnidosFil: Marquis, James. Pacific Northwest National Laboratory; Estados UnidosFil: Bowley, Kevin A.. State University of Pennsylvania; Estados UnidosFil: Alvarez Imaz, María de Los Milagros. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; ArgentinaFil: Salio, Paola Veronica. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Centro de Investigaciones del Mar y la Atmósfera. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Centro de Investigaciones del Mar y la Atmósfera; Argentin

Inhibition of Glioblastoma Growth by the Thiadiazolidinone Compound TDZD-8

This is an open-access article distributed under the terms of the Creative Commons Attribution License.[Background]: Thiadiazolidinones (TDZD) are small heterocyclic compounds first described as non-ATP competitive inhibitors of glycogen synthase kinase 3 beta (GSK-3 beta). In this study, we analyzed the effects of 4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5- dione (TDZD-8), on murine GL261 cells growth in vitro and on the growth of established intracerebral murine gliomas in vivo. [Methodology/Principal Findings]: Our data show that TDZD-8 decreased proliferation and induced apoptosis of GL261 glioblastoma cells in vitro, delayed tumor growth in vivo, and augmented animal survival. These effects were associated with an early activation of extracellular signal-regulated kinase (ERK) pathway and increased expression of EGR-1 and p21 genes. Also, we observed a sustained activation of the ERK pathway, a concomitant phosphorylation and activation of ribosomal S6 kinase (p90RSK) and an inactivation of GSK-3 beta by phosphorylation at Ser 9. Finally, treatment of glioblastoma stem cells with TDZD-8 resulted in an inhibition of proliferation and self-renewal of these cells. [Conclusions/Significance]: Our results suggest that TDZD-8 uses a novel mechanism to target glioblastoma cells, and that malignant progenitor population could be a target of this compound.This work was supported by the Ministerio de Educacion y Ciencia grant SAF2007-62811 (to A.P.-C.). CIBERNED is funded by the Instituto de Salud Carlos III. JA.M.-G. and M.S.-S. are fellows of CIBERNED. D.A.-M. is a fellow of the Consejo Superior de Investigaciones Científicas.Peer reviewe

Atmospheric effects on extensive air showers observed with the Surface Detector of the Pierre Auger Observatory

Atmospheric parameters, such as pressure (P), temperature (T) and density, affect the development of extensive air showers initiated by energetic cosmic rays. We have studied the impact of atmospheric variations on extensive air showers by means of the surface detector of the Pierre Auger Observatory. The rate of events shows a ~10% seasonal modulation and ~2% diurnal one. We find that the observed behaviour is explained by a model including the effects associated with the variations of pressure and density. The former affects the longitudinal development of air showers while the latter influences the Moliere radius and hence the lateral distribution of the shower particles. The model is validated with full simulations of extensive air showers using atmospheric profiles measured at the site of the Pierre Auger Observatory.Comment: 24 pages, 9 figures, accepted for publication in Astroparticle Physic

Constraints on the χ_(c1) versus χ_(c2) polarizations in proton-proton collisions at √s = 8 TeV

The polarizations of promptly produced χ_(c1) and χ_(c2) mesons are studied using data collected by the CMS experiment at the LHC, in proton-proton collisions at √s=8  TeV. The χ_c states are reconstructed via their radiative decays χ_c → J/ψγ, with the photons being measured through conversions to e⁺e⁻, which allows the two states to be well resolved. The polarizations are measured in the helicity frame, through the analysis of the χ_(c2) to χ_(c1) yield ratio as a function of the polar or azimuthal angle of the positive muon emitted in the J/ψ → μ⁺μ⁻ decay, in three bins of J/ψ transverse momentum. While no differences are seen between the two states in terms of azimuthal decay angle distributions, they are observed to have significantly different polar anisotropies. The measurement favors a scenario where at least one of the two states is strongly polarized along the helicity quantization axis, in agreement with nonrelativistic quantum chromodynamics predictions. This is the first measurement of significantly polarized quarkonia produced at high transverse momentum