Recurrent adult-onset hypophyseal Langerhans cell histiocytosis after radiotherapy: A case report

INTRODUCTION: Langerhans cell histiocytosis is a rare disease within the adult population, with very few cases reported as solitary hypophyseal lesions in adults. Of the reported cases, most have been treated successfully with surgery, radiotherapy, and/or chemotherapy. Radiotherapy has been thought to be curative at the relatively low dose of 20Gy. Here we report a case of recurrent hypophyseal Langerhans cell histiocytosis 9 months after radiotherapy with an interval period of symptomatic and radiographic response to therapy. CASE PRESENTATION: A 50-year-old Caucasian woman who had headaches, memory difficulties, and diabetes insipidus was found to have a 2.5cm suprasellar mass. Langerhans cell histiocytosis was diagnosed following stereotactic brain biopsy. Further workup revealed no other lesions. Initial radiation treatment succeeded in shrinking the tumor and relieving clinical symptoms temporarily; however, growth and recurrence of clinical symptoms was noted at 9 months. Re-irradiation was well tolerated and the patient had no acute side effects. CONCLUSION: Isolated hypophyseal involvement by Langerhans cell histiocytosis in adults is a unique presentation of a rare disease. Although radiotherapy doses as low as 20Gy have been reported to offer control, this case demonstrates that higher doses may be warranted to ensure tumor control. With modern imaging and radiotherapy techniques higher doses should offer little increased more durable risk to surrounding critical structures

Structural Properties of Silicon Doped Rare Earth Elements Ytterbium

This paper presents the results of a study of the state of ytterbium atoms in silicon, carried out using the methods of Fourier transform infrared spectroscopy (IR) and Raman spectroscopy (RS). Silicon samples doped with ytterbium impurities were analyzed using FSM-2201 and SENTERRA II Bruker spectrometers. Registration and identification of both crystalline and amorphous phase components in the samples was carried out. The results of the study confirm that doping silicon with ytterbium impurities leads to a decrease in the concentration of optically active oxygen  by 30-40%, depending on the concentration of the introduced impurities. It was also found that an increase in the number of defects leads to a broadening of the amorphous zone. It is assumed that similar dependencies exist for the Si-Yb system; however, to the best of our knowledge, similar results have not been reported previously. It is noted that the relative intensity of the three Raman bands in Si-Yb systems in the LTIOS (The light and temperature induced ordered state) state changes, and the relative intensity of Si-Si decreases. This indicates that pendant bonds are mainly formed by the breaking of Si-Si bonds. It was also observed that the light intensity causing this condition is far from that required for laser or solid phase crystallization. Using the Raman spectroscopy method, a structural transformation was discovered, expressed in a densely packed array of nanocrystals with a size of less than 11 lattice parameters. Small clusters were under strong internal stress (up to 3 GPa), which probably prevents the cluster size from increasing beyond the critical value for irreversible crystallization

The Disappearing Act of KH 15D: Photometric Results from 1995 to 2004

We present results from the most recent (2002-2004) observing campaigns of the eclipsing system KH 15D, in addition to re-reduced data obtained at Van Vleck Observatory (VVO) between 1995 and 2000. Phasing nine years of photometric data shows substantial evolution in the width and depth of the eclipses. The most recent data indicate that the eclipses are now approximately 24 days in length, or half the orbital period. These results are interpreted and discussed in the context of the recent models for this system put forward by Winn et al. and Chiang & Murray-Clay. A periodogram of the entire data set yields a highly significant peak at 48.37 +/- 0.01 days, which is in accord with the spectroscopic period of 48.38 +/- 0.01 days determined by Johnson et al. Another significant peak, at 9.6 days, was found in the periodogram of the out-of-eclipse data at two different epochs. We interpret this as the rotation period of the visible star and argue that it may be tidally locked in pseudosynchronism with its orbital motion. If so, application of Hut's theory implies that the eccentricity of the orbit is e = 0.65 +/- 0.01. Analysis of the UVES/VLT spectra obtained by Hamilton et al. shows that the v sin(i) of the visible star in this system is 6.9 +/- 0.3 km/sec. Using this value of v sin(i) and the measured rotation period of the star, we calculate the lower limit on the radius to be R = (1.3 +/- 0.1), R_Sun, which concurs with the value obtained by Hamilton et al. from its luminosity and effective temperature. Here we assume that i = 90 degrees since it is likely that the spin and orbital angular momenta vectors are nearly aligned.Comment: 55 pages, 18 figures, 1 color figure, to appear the September issue of the Astronomical Journa

IKZF1 Deletions with COBL Breakpoints Are Not Driven by RAG-Mediated Recombination Events in Acute Lymphoblastic Leukemia

IKZF1 deletion (ΔIKZF1) is an important predictor of relapse in both childhood and adult B-cell precursor acute lymphoblastic leukemia (B-ALL). Previously, we revealed that COBL is a hotspot for breakpoints in leukemia and could promote IKZF1 deletions. Through an international collaboration, we provide a detailed genetic and clinical picture of B-ALL with COBL rearrangements (COBL-r). Patients with B-ALL and IKZF1 deletion (n = 133) were included. IKZF1 ∆1-8 were associated with large alterations within chromosome 7: monosomy 7 (18%), isochromosome 7q (10%), 7p loss (19%), and interstitial deletions (53%). The latter included COBL-r, which were found in 12% of the IKZF1 ∆1-8 cohort. Patients with COBL-r are mostly classified as intermediate cytogenetic risk and frequently harbor ETV6, PAX5, CDKN2A/B deletions. Overall, 56% of breakpoints were located within COBL intron 5. Cryptic recombination signal sequence motifs were broadly distributed within the sequence of COBL, and no enrichment for the breakpoint cluster region was found. In summary, a diverse spectrum of alterations characterizes ΔIKZF1 and they also include deletion breakpoints within COBL. We confirmed that COBL is a hotspot associated with ΔIKZF1, but these rearrangements are not driven by RAG-mediated recombination

Survival following gamma knife radiosurgery for brain metastasis from breast cancer

BACKGROUND: Breast cancer is the second most common cause of brain metastases in the United States. Although breast cancer induced brain metastases represent an incurable condition, some patients experience prolonged survival. In this retrospective study, we examine a cohort of patients with brain metastases from breast cancer treated with Gamma Knife stereotactic radiosurgery to identify factors that predict better outcomes. METHODS: A retrospective database of 100 patients treated for brain metastases due to breast cancer via Gamma Knife radiosurgery (GKS) from July 1998 through March 2009 was reviewed. Patients who received radiosurgery as sole treatment, as a planned boost after whole brain radiotherapy or surgical resection, or as salvage after prior whole brain radiation therapy (WBRT) or surgical resection were included. Prognostic factors identified to be significant for survival in previous brain metastasis studies were analyzed for significance by univariate and multivariate Cox analysis. RESULTS: Overall, the median brain progression-free survival time was 7.1 months and the median survival time was 12.3 months. No prognostic variables were significant for brain progression-free survival. For patients treated with a planned GKS after WBRT, GKS as sole treatment, GKS salvage after WBRT, GKS boost after surgery, or GKS for surgical salvage the median survival times (MSTs) were as follows: 12.2 months, 12.4 months, 9.5 months, 27.6 months and 33.4 months respectively. Differences between the groups were not significant (p = 0.06); however, GKS boost after surgery and GKS for salvage after surgery did have a trend toward better overall survival. The MST for patients of age <65 years was 14.5 months, compared to age ≥65 which was 7.7 months (p = 0.06) and remained a significant prognostic factor for overall survival on multivariate analysis. The MST for patients with a single lesion was 16.9 months, not significantly different than the MST of 14.5 months for patients with 2–3 lesions. However patients with >3 lesions had a MST of 5.9 months, which was significantly worse. Breast cancer subtype as approximated by biomarkers and KPS were not significant predictors of overall survival and stage at initial diagnosis was inversely associated with survival. CONCLUSION: Stereotactic radiosurgery offers good local control and prolonged survival in selected patients. Age and number of lesions are strong predictors of overall survival

Identification and quantification of microplastics in wastewater using focal plane array-based reflectance micro-FT-IR imaging

Microplastics (<5 mm) have been documented in environmental samples on a global scale. While these pollutants may enter aquatic environments via wastewater treatment facilities, the abundance of microplastics in these matrices has not been investigated. Although efficient methods for the analysis of microplastics in sediment samples and marine organisms have been published, no methods have been developed for detecting these pollutants within organic-rich wastewater samples. In addition, there is no standardized method for analyzing microplastics isolated from environmental samples. In many cases, part of the identification protocol relies on visual selection before analysis, which is open to bias. In order to address this, a new method for the analysis of microplastics in wastewater was developed. A pretreatment step using 30% hydrogen peroxide (H2O2) was employed to remove biogenic material, and focal plane array (FPA)-based reflectance micro-Fourier-transform (FT-IR) imaging was shown to successfully image and identify different microplastic types (polyethylene, polypropylene, nylon-6, polyvinyl chloride, polystyrene). Microplastic-spiked wastewater samples were used to validate the methodology, resulting in a robust protocol which was nonselective and reproducible (the overall success identification rate was 98.33%). The use of FPA-based micro-FT-IR spectroscopy also provides a considerable reduction in analysis time compared with previous methods, since samples that could take several days to be mapped using a single-element detector can now be imaged in less than 9 h (circular filter with a diameter of 47 mm). This method for identifying and quantifying microplastics in wastewater is likely to provide an essential tool for further research into the pathways by which microplastics enter the environment.This work is funded by a NERC (Natural Environment Research Council) CASE studentship (NE/K007521/1) with contribution from industrial partner Fera Science Ltd., United Kingdom. The authors would like to thank Peter Vale, from Severn Trent Water Ltd, for providing access to and additionally Ashley Howkins (Brunel University London) for providing travel and assistance with the sampling of the Severn Trent wastewater treatment plant in Derbyshire, UK. We are grateful to Emma Bradley and Chris Sinclair for providing helpful suggestions for our research

Diagnóstico do meio físico da bacia hidrográfica do Rio do Imbé - RJ: aplicação de metodologia integrada como subsídio ao manejo de microbacias.

O Diagnóstico do Meio Físico da Bacia do Rio do Imbé (BHRI) integra os estudos que subsidiam o projeto Manejo Sustentável de Recursos Naturais em Microbacias do Norte-Noroeste Fluminense - SMH-SEAAPI/GEF (Global Enviroment Facility), cujo principal objetivo é apoiar produtores rurais de base familiar na autogestão dos recursos naturais, visando o desenvolvimento rural baseado em um modelo de agricultura socioambientalmente sustentável. A metodologia adotada partiu da integração da base cartográfica e dos dados digitais de mapeamentos temáticos do meio físico (clima, recursos hídricos, geologia, geomorfologia, solos e uso e ocupação das terras). Adotou-se no presente estudo a escala 1:250.000, compatível com a maioria dos dados secundários, que foram transformados para uma mesma projeção cartográfica e inseridos em uma base de dados digital. Inicialmente, foi realizada a síntese dos dados de solos e geomorfologia para a identificação e delimitação de unidades morfopedológicas. Em seguida, essas unidades foram agrupadas em seis zonas agroecológicas, considerando as potencialidades e fragilidades dos recursos naturais, os padrões de uso e o estado de degradação das terras. As zonas foram descritas e caracterizadas com base no conjunto de dados temáticos disponível e complementados com as informações levantadas em campo. O trabalho de campo foi orientado para verificação da diversidade dos aspectos físicos, das atividades antrópicas e dos problemas de degradação e conflitos relacionados ao uso dos recursos naturais. Foram considerados ainda o histórico socioeconômico e ambiental da região e a percepção dos atores locais com relação aos aspectos mencionados. Os resultados evidenciaram que a BHRI, face à singular interação dos aspectos fisiográficos e antrópicos, possui uma diversidade ambiental contrastante, apresentando diferentes potencialidades de uso e níveis de fragilidade. Contudo, o diagnóstico do meio físico, obtido segundo a metodologia apresentada, poderá constituir-se em um instrumento importante para subsidiar a tomada de decisões no que se refere às estratégias de planejamento, manejo adequado, monitoramento e avaliação dos recursos naturais, a serem adotados pelo projeto

The Non-Homologous End Joining Protein PAXX Acts to Restrict HSV-1 Infection.

Herpes simplex virus 1 (HSV-1) has extensive interactions with the host DNA damage response (DDR) machinery that can be either detrimental or beneficial to the virus. Proteins in the homologous recombination pathway are known to be required for efficient replication of the viral genome, while different members of the classical non-homologous end-joining (c-NHEJ) pathway have opposing effects on HSV-1 infection. Here, we have investigated the role of the recently-discovered c-NHEJ component, PAXX (Paralogue of XRCC4 and XLF), which we found to be excluded from the nucleus during HSV-1 infection. We have established that cells lacking PAXX have an intact innate immune response to HSV-1 but show a defect in viral genome replication efficiency. Counterintuitively, PAXX-/- cells were able to produce greater numbers of infectious virions, indicating that PAXX acts to restrict HSV-1 infection in a manner that is different from other c-NHEJ factors

Qualidade de água e sua relação espacial com as fontes de contaminação antrópicas e naturais: bacia hidrográfica do Rio São Domingos - RJ.

O objetivo do trabalho foi avaliar a qualidade das águas da Bacia Hidrográfica do Rio São Domingos (BHRSD), correlacionando-a com as possíveis fontes poluidoras advindas das características naturais e antrópicas da área. Alguns parâmetros físico-químicos foram analisados em 65 pontos (superficiais e subterrâneos) de amostragem. Os resultados foram confrontados com os limites estabelecidos pelas Resoluções CONAMA 357/05 (classe 2), que trata das águas superficiais, e CONAMA 396/08 (consumo humano), que contempla as águas subterrâneas. Foram analisados diversos cátions e ânions, temperatura, alcalinidade, pH, condutividade elétrica (CE), sólidos totais dissolvidos (STD), oxigênio dissolvido (OD), demanda bioquímica de oxigênio (DBO), coliformes termotolerantes e alguns agrotóxicos organoclorados e organofosforados. Os parâmetros que apresentaram inconformidades, com maior frequência, foram: alumínio dissolvido, boro total, ferro dissolvido, manganês total, nitratos, pH, OD, DBO e alguns organoclorados e organofosforados. Embora a área esteja situada em terreno cristalino tropical úmido, o que pode justificar os teores elevados de alumínio, manganês e ferro, os resultados apontam que o comprometimento da qualidade das águas da BHRSD é influenciado pela prática agrícola