Sialyl Lewis X Expression and Lymphatic Microvessel Density in Primary Tumors of Node-negative Colorectal Cancer Patients Predict Disease Recurrence

Up to 30% of curatively resected colorectal cancer patients with tumor-negative lymph nodes, show disease recurrence. We assessed whether these high-risk patients can be identified by examining primary tumors for the following blood and lymphatic vasculature markers: A) sialyl Lewis X (sLeX), vascular endothelial growth factor (VEGF)-C and VEGF-D expression; B) blood and lymphatic microvessel density (BMVD/LMVD); and C) the presence of blood and lymphatic vessel invasion. Thirty-six cases (disease recurrence within 5 years) and 72 controls (no disease recurrence for at least 5 years) were selected in a case-control design. Tumor sections were stained by antibodies CSLEX1 (sLeX), anti-VEGF-C, anti-VEGF-D, anti-CD31 (BMVD) or D2–40 (LMVD) to determine the parameters as mentioned above. A multivariate analysis showed sLeX expression and high LMVD (odds ratio 5.1, 95% confidence interval 1.3–20.0 and odds ratio 3.1, 95% confidence interval 1.0–10.0, respectively) to be independent factors predicting disease recurrence. Expression of sLeX correlated with liver metastases (P = 0.015). A high LMVD was related to regional intra-abdominal or intrapelvic metastases in lymph nodes and distant metastases other than in the liver and lungs such as peritoneum, bones, brain and adrenal glands (P = 0.004). A high BMVD in the invasive front correlated with lung metastases (P = 0.018). We show that high-risk node-negative colorectal cancer patients can be identified by primary tumor assessment for sLeX expression and LMVD. Our results are consistent with the notion that both lymphatic and hematogenous metastasis play a role in colorectal cancer

Fabrication and characterization of different PbO borate glass systems as radiation-shielding containers

Abstract Three borate glasses of 50, 35, and 15 mol% PbO-doped Ce, Sb, or Mn ions were fabricated via the melting-annealing procedure. Their structural features were inspected before and after 250 kGy of gamma irradiation using FTIR and ESR techniques. The spectra of the ESR and FTIR vibrational bands remain constant, with a minor reduction in N4 and an enhancement in density values after irradiation, indicating the large structural stability and glass compactness. Many radiation shielding parameters were studied, such as gamma dose rate (µSv/h), dose transmission %, lifetime cancer risk %, macroscopic effective removal cross-section (∑R), mass stopping power, and projected range values ​​were considered for protons particles by SRIM Monte Carlo simulation code and ESTAR program. The whole data reveals the high radiation shielding efficiency of the glasses compared to other standard shields to be used as glass immobilizers for radioactive wastes or storage containers, e.g., for nuclear medicine units in hospitals

EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY AS MONOTHERAPY FOR STONES IN SOLITARY KIDNEY

Objective To evaluate extracorporeal shock wave lithotripsy (ESWL) as a monotherapy for urolithiasis in patients with solitary kidney and to determine the factors that may affect its results. Patients and Methods Using the Dornier MFL 5000 lithotriptor, 106 patients with solitary kidney (80 men and 26 women) were treated for stone disease. The mean age ( SD) was 44.5 11.1 years (ranging from 18 to 70 years). The causes of monorenia were nephrectomy, the presence of a contralateral non-functioning kidney or a congenital solitary kidney (56.6%, 39.6% and 3.8%, respectively). The mean stone length was 13 5 mm and the mean width was 10 3 mm. Pre-treatment stenting was done in 14 patients to relieve anuria before ESWL. The follow-up data were recorded at 3 months. The statistical analysis was performed using chi-square test to detect the different factors that may affect the stone-free rate. Results The overall stone-free rate was 84.9%. Sixteen patients (15.1%) were not cleared of stones, including 12 (11.3%) with insignificant gravel o

Rheological Study of Genipin Cross-Linked Chitosan Hydrogels

This paper reports the rheological behavior of chitosan solutions that have been cross-linked with different amounts of genipin, at body temperature and physiological pH. The effect of the cross-linker loading on the rheological properties of hydrogels has been evaluated. The oscillatory time sweep method was used to monitor the dynamic viscoelastic parameters during in situ (i.e., in the rheometer) gelation experiments, enabling the determination of the gelation time. The stress and frequency sweeps were employed to measure G′ of the cured hydrogels. It was found that the solutions of chitosan cross-linked with genipin, under physiological conditions, could form relatively strong elastic gels when compared to those of pure chitosan. Moreover, the gelation time obtained from the crossover of G′′ and G′ was in excellent agreement with the value obtained from the Winter–Chambon criterion. A significant reduction on this parameter was achieved even at low genipin concentrations. This behavior suggests that these formulations are able to be produced in situ and thus constitute promising matrices for cells and bioactive molecule encapsulations