Treatment of osteolytic solitary painful osseous metastases with radiofrequency ablation or cryoablation: a retrospective study by propensity analysis

The present study aimed to measure the improvement in pain relief and quality of life in patients with osteolytic solitary painful bone metastasis treated by cryoablation (CA) or radiofrequency ablation (RFA). Fifty patients with solitary osteolytic painful bone metastases were retrospectively studied and selected by propensity analysis. Twenty-five patients underwent CA and the remaining twenty-five underwent RFA. Pain relief, in terms of complete response (CR), the number of patients requiring analgesia and the changes in self-rated quality of life (QoL) were measured following the two treatments. Thirty-two percent of patients treated by CA experienced a CR at 12 weeks versus 20% of patients treated by RFA. The rate of CR increased significantly with respect to baseline only in the group treated by CA. In both groups there was a significant change in the partial response with respect to baseline (36% in the CA group vs. 44% in the RFA group). The recurrence rate in the CA and RFA groups was 12% and 8%, respectively. The reduction in narcotic medication requirements with respect to baseline was only significant in the group treated by CA. A significant improvement in self-rated QoL was observed in both groups. The present study seems to suggest that CA only significantly improves the rate of CR and decreases the requirement of narcotic medications. Both CA and RFA led to an improvement in the self-rated QoL of patients after the treatments. However, the results of the present study should be considered as preliminary and to serve as a framework around which future trials may be designed

Variable Temperature Synthesis of Tunable Flame-Generated Carbon Nanoparticles

In this study, flame-formed carbon nanoparticles of different nanostructures have been produced by changing the flame temperature. Raman spectroscopy has been used for the characterization of the carbon nanoparticles, while the particle size has been obtained by online measurements made by electrical mobility analysis. The results show that, in agreement with recent literature data, a large variety of carbon nanoparticles, with a different degree of graphitization, can be produced by changing the flame temperature. This methodology allows for the synthesis of very small carbon nanoparticles with a size of about 3–4 nm and with different graphitic orders. Under the perspective of the material synthesis process, the variable-temperature flame-synthesis of carbon nanoparticles appears as an attractive procedure for a cost-effective and easily scalable production of highly tunable carbon nanoparticles

Treatment of Solitary Painful Osseous Metastases with Radiotherapy, Cryoablation or Combined Therapy: Propensity Matching Analysis in 175 Patients

aim of this study was to identify outcomes in pain relief and quality of life in patients with a solitary painful osseous metastasis treated by radiotherapy, cryoablation or the combination using a propensity score matching study design

Hydromedusa tectifera (South American snake-necked turtle)

Herpetological Collection of Museo de La Plata, Buenos Aires, Argentina (MLP R 5717 hatchling turtle, 32 mm carapace length, road-killed during a heavy rain). Verified by P. Bona. Species previously known from Uruguay, eastern Paraguay, southeastern Brazil, and northeastern and central Argentina (Cabrera 1998. Las Tortugas Continentales de Sudamérica Austral. Córdoba, Argentina, Privately printed, 108 pp., 6 pls.; Fritz and Havaš 2007. Vert. Zool. 57:149–368). Southernmost locality for the species and extends its known distribution ca. 495 km airline SW from Roberto Pairó, Partido de Magdalena, Buenos Aires province, which was the previous nearest known locality (Cabrera 1998, op. cit.)Facultad de Ciencias Naturales y Muse

tribological properties of wear resistant coatings obtained by cold gas dynamic spray

Abstract The aim of this study was obtaining good deposits of stellite-6 by Cold Gas Dynamic Spray (CGDS), in terms of low porosity and good adhesion and cohesion. In fact, the high strength and melting point of the investigated alloy lead to a high value of the particle critical velocity in CGDS and, therefore, good quality results are difficult to achieve. The tribological properties of the coatings were analyzed by micro-hardness measurements and pin-on-disk wear tests. Results revealed that spraying parameters can be optimized to obtain almost pore-free coatings

Social Perception of Reconstruction following Orbital Exenteration

Background: Orbital exenteration, the removal of the entire globe, eyelids, and orbital content, is indicated in extensive neoplastic disease involving the orbital region. Although a functional reconstruction of orbital exenteration defects is mandatory, aesthetic concerns need to be considered. Facial disfigurement following reconstructive surgery often leads to great discomfort and social retirement, which can limit social interaction. The aim of this study was to explore how the society perceives the aspect of patients who underwent orbital exenteration and subsequent reconstruction, comparing two different types of reconstruction: standard anterolateral thigh (ALT) or "sandwich" fascial ALT (SALT) free flap. Methods: An online survey was created based on four questions regarding the perception of reconstruction (discomfort at looking at that patient, perception of unhealthiness, hypothesis of social life impairment, etc); five possible answers were provided, ranging from "completely" to "not at all." The survey was administered to the general population and to medical students. Results: In total, 255 people participated to the survey (130 medical students and 125 people of the general population); a total of 245 surveys were considered eligible (10 were incomplete and then discharged). Statistical significance was found (P < 0.001) regarding the better overall appearance of the SALT group over the ALT one. Conclusions: After analysis, the surgical outcome after SALT reconstruction has been found to be less disruptive in both groups, due to a reduced scar burden and a more pleasant orbital pocket. Our results encourage more research in the field of postexenteration reconstruction to achieve more aesthetic and social acceptability

Severe Kawasaki disease in a 3-month-old patient: a case report

BACKGROUND: Kawasaki disease is a multi-system vasculitis which usually occurs in children under 5 years of age. In infants under three months of age, it is very rare and usually associated with a high incidence of incomplete or atypical forms, often unresponsive to treatment. This condition increases the risk of cardiovascular complications such as coronary artery aneurysms. CASE PRESENTATION: We describe a 3-month-old infant who developed early and severe aneurysms in three coronary arteries despite a timely administration of intravenous immunoglobulins, followed by three days of intravenous methylprednisolone. CONCLUSION: This case report underlines that the development of coronary artery aneurysm correlates with a delayed diagnosis and treatment, incomplete or atypical forms of the disease, and additionally the severity of clinical presentation, especially in cases of very young infants below 3 months of age. Our case is notable because of the very young age of the patient, the severity of clinical presentation with an early development of coronary artery aneurysms and the unresponsiveness to the therapy

Urothelial bladder carcinoma metastasizing to the eye: a systematic review and case report

The eye is a rare site for disseminated malignancies; nevertheless, several tumors may metastasize to ocular structures. Few cases of urothelial and bladder cancer with eye involvement have been described in the literature thus far. The rarity of metastatic ocular localization implies an accurate differential diagnosis among the possible primary tumor sites. However, a specific diagnostic algorithm is not currently available, nor a defined therapeutic approach. Eye metastases are associated with advanced disease and poor prognosis. Physicians should be made aware of the possibility of eye involvement in patients with a past medical history of urothelial bladder cancer associated with ocular symptoms. The present case reports discusses the first documented case, to the best of our knowledge, of an urothelial bladder cancer metastasizing to the retro bulbar region that infiltrates the lacrimal gland. Furthermore, the report provides a systematic qualitative review of the current literature on eye metastases from urothelial bladder cancer using the Preferred Reporting Items for Systematic Reviews and Meta Analyses