The course of cancer related fatigue up to ten years in early breast cancer patients. What impact in clinical practice?

Little is known about the cancer related fatigue (CRF) along cancer course and risk factors that could predict CRF development and persistence in breast cancer (BC) survivors. This prospective study detected incidence, timing of onset, duration of CRF, impact on QoL and psychological distress. Seventy-eight early BC patients, undergoing chemotherapy (CT) followed or not by hormonal therapy were assessed for QoL and psychological distress by EORTC QLQC30 and HADs questionnaires. Fatigue was investigated with mix methods, structured interview and psychometric measures. A qualitative analysis was added to assess the behavioral pattern of CRF. Low fatigue levels were identified after surgery (9%), increasing during (49%) and at the end of CT (47%), maintaining after 1 year (31%) and declining up to ten years of follow-up. Prevalence of CRF was higher at the end of CT and lower at follow-up. At the end and after 1 and 2 years from CT, persistence of CRF was associated to anxiety in 20%, 11% and 5% and to depression in 15%, 10% and 5% respectively. A relationship between CRF and psychological distress was observed; patients presenting depression and anxiety before CT were at higher risk for fatigue onset at a later period. A relationship between fatigue and QoL was noted at the end of CT. Our study shows the fatigue timely trend in early BC patients from surgery, CT and follow-up. Identification of biological, psychological, social predictor factors related to fatigue could be helpful for early interventions in patients at higher risk of developing fatigue

Embolization of the superior rectal artery: another management option for hemorrhoids

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Swift J053041.9-665426, a new Be/X-ray binary pulsar in the Large Magellanic Cloud

We observed the newly discovered X-ray source Swift J053041.9-665426 in the X-ray and optical regime to confirm its proposed nature as a high mass X-ray binary. We obtained XMM-Newton and Swift X-ray data, along with optical observations with the ESO Faint Object Spectrograph, to investigate the spectral and temporal characteristics of Swift J053041.9-665426. The XMM-Newton data show coherent X-ray pulsations with a period of 28.77521(10) s (1 sigma). The X-ray spectrum can be modelled by an absorbed power law with photon index within the range 0.76 to 0.87. The addition of a black body component increases the quality of the fit but also leads to strong dependences of the photon index, black-body temperature and absorption column density. We identified the only optical counterpart within the error circle of XMM-Newton at an angular distance of ~0.8 arcsec, which is 2MASS J05304215-6654303. We performed optical spectroscopy from which we classify the companion as a B0-1.5Ve star. The X-ray pulsations and long-term variability, as well as the properties of the optical counterpart, confirm that Swift J053041.9-665426 is a new Be/X-ray binary pulsar in the Large Magellanic Cloud.Comment: 10 pages, 8 figures, accepted for publication in A&

Discovery of SXP265, a Be/X-ray binary pulsar in the Wing of the Small Magellanic Cloud

We identify a new candidate for a Be/X-ray binary in the XMM-Newton slew survey and archival Swift observations that is located in the transition region of the Wing of the Small Magellanic Cloud and the Magellanic Bridge. We investigated and classified this source with follow-up XMM-Newton and optical observations. We model the X-ray spectra and search for periodicities and variability in the X-ray observations and the OGLE I-band light curve. The optical counterpart has been classified spectroscopically, with data obtained at the SAAO 1.9 m telescope, and photometrically, with data obtained using GROND at the MPG 2.2 m telescope. The X-ray spectrum is typical of a high-mass X-ray binary with an accreting neutron star. We detect X-ray pulsations, which reveal a neutron-star spin period of P = (264.516+-0.014) s. The source likely shows a persistent X-ray luminosity of a few 10^35 erg/s and in addition type-I outbursts that indicate an orbital period of ~146 d. A periodicity of 0.867 d, found in the optical light curve, can be explained by non-radial pulsations of the Be star. We identify the optical counterpart and classify it as a B1-2II-IVe star. This confirms SXP 265 as a new Be/X-ray binary pulsar originating in the tidal structure between the Magellanic Clouds.Comment: 11 pages, 12 figures, accepted for publication in MNRA

Rapid detection of copy number variations and point mutations in BRCA1/2 genes using a single workflow by ion semiconductor sequencing pipeline

Molecular analysis of BRCA1 (MIM# 604370) and BRCA2 (MIM #600185) genes is essential for familial breast and ovarian cancer prevention and treatment. An efficient, rapid, cost-effective accurate strategy for the detection of pathogenic variants is crucial. Mutations detection of BRCA1/2 genes includes screening for single nucleotide variants (SNVs), small insertions or deletions (indels), and Copy Number Variations (CNVs). Sanger sequencing is unable to identify CNVs and therefore Multiplex Ligation Probe amplification (MLPA) or Multiplex Amplicon Quantification (MAQ) is used to complete the BRCA1/2 genes analysis. The rapid evolution of Next Generation Sequencing (NGS) technologies allows the search for point mutations and CNVs with a single platform and workflow. In this study we test the possibilities of NGS technology to simultaneously detect point mutations and CNVs in BRCA1/2 genes, using the OncomineTM BRCA Research Assay on Personal Genome Machine (PGM) Platform with Ion Reporter Software for sequencing data analysis (Thermo Fisher Scientific). Comparison between the NGS-CNVs, MLPA and MAQ results shows how the NGS approach is the most complete and fast method for the simultaneous detection of all BRCA mutations, avoiding the usual time consuming multistep approach in the routine diagnostic testing of hereditary breast and ovarian cancers

The population of X-ray supernova remnants in the Large Magellanic Cloud

We present a comprehensive X-ray study of the population of supernova remnants (SNRs) in the LMC. Using primarily XMM-Newton, we conduct a systematic spectral analysis of LMC SNRs to gain new insights on their evolution and the interplay with their host galaxy. We combined all the archival XMM observations of the LMC with those of our Very Large Programme survey. We produced X-ray images and spectra of 51 SNRs, out of a list of 59. Using a careful modelling of the background, we consistently analysed all the X-ray spectra and measure temperatures, luminosities, and chemical compositions. We investigated the spatial distribution of SNRs in the LMC and the connection with their environment, characterised by various SFHs. We tentatively typed all LMC SNRs to constrain the ratio of core-collapse to type Ia SN rates in the LMC. We compared the X-ray-derived column densities to HI maps to probe the three-dimensional structure of the LMC. This work provides the first homogeneous catalogue of X-ray spectral properties of LMC SNRs. It offers a complete census of LMC SNRs exhibiting Fe K lines (13% of the sample), or revealing contribution from hot SN ejecta (39%). Abundances in the LMC ISM are found to be 0.2-0.5 solar, with a lower [$\alpha$/Fe] than in the Milky Way. The ratio of CC/type Ia SN in the LMC is $N_{\mathrm{CC}}/N_{\mathrm{Ia}} = 1.35(_{-0.24}^{+0.11})$, lower than in local SN surveys and galaxy clusters. Comparison of X-ray luminosity functions of SNRs in Local Group galaxies reveals an intriguing excess of bright objects in the LMC. We confirm that 30 Doradus and the LMC Bar are offset from the main disc of the LMC, to the far and near sides, respectively. (abridged)Comment: Accepted for publication in Astronomy and Astrophysics. 54 pages, 18 figures, 12 tables. The resolution of the figures has been reduced compared to the journal version; v2: New title, minor text edits; v3: Correct version

Chemical Composition and Cytoprotective Activities of Methanolic Extract of Asplenium adiantum-nigrum L. (Aspleniaceae)

Ferns can be a source of polyphenolic compounds, with the fronds being the main parts described in ethnopharmacological studies. The present study screened polyphenolic phytochemicals and evaluated in vitro activities of a methanolic extract of Asplenium adiantum-nigrum L. fronds (AAM), an Aspleniaceae fern collected from the Prades mountains (Tarragona, Spain). Phytocharacterization by HPLC-MS/MS confirmed that the major flavonoids isolated in AAM are flavanols while the major phytochemicals are phenol acids, with chlorogenic acid being the most representative one. Cytotoxicity, cytoprotection, cellular repair activity, and phototoxicity were determined in vitro in the presence of 0.01, 0.1, and 1 mg/mL of the extract. No cytotoxicity was obtained in any of the cell lines tested: non-tumoral (3T3 and HaCaT) and tumoral (HeLa, HepG2, and A549) cells. Additionally, the polyphenolic extract showed greater protective effect against H2O2 in 3T3 than HaCaT cells. Despite the low total phenolic content of AAM (1405.68 mg phenolic phytochemicals/kg dry extract), the cytoprotective activity of this extract could be associated with the synergistic antioxidant action of their polyphenolic profile. In addition, the extract did not present phototoxicity against the non-cytotoxic 1.8 J/cm2 dose of UVA light in both non-tumoral cell lines

Dimensional reduction of electromagnetism

We derive one- and two-dimensional models for classical electromagnetism by making use of Hadamard's method of descent. Low-dimensional electromagnetism is conceived as a specialization of the higher-dimensional one, in which the fields are uniform along the additional spatial directions. This strategy yields two independent electromagnetisms in two spatial coordinates and four independent electromagnetisms in one spatial coordinate