Medulloblastoma has a global impact on health related quality of life: Findings from an international cohort

BACKGROUND: Understanding the global impact of medulloblastoma on health related quality of life (HRQL) is critical to characterizing the broad impact of this disease and realizing the benefits of modern treatments. We evaluated HRQL in an international cohort of pediatric medulloblastoma patients. METHODS: Seventy-six patients were selected from 10 sites across North America, Europe, and Asia, who participated in the Medulloblastoma Advanced Genomics International Consortium (MAGIC). The Health Utilities Index (HUI) was administered to patients and/or parents at each site. Responses were used to determine overall HRQL and attributes (ie specific subdomains). The impact of various demographic and medical variables on HRQL was considered-including molecular subgroup. RESULTS: The majority of patients reported having moderate or severe overall burden of morbidity for both the HUI2 and HUI3 (HUI2 = 60%; HUI3 = 72.1%) when proxy-assessed. Self-care in the HUI2 was rated as higher (ie better outcome) for patients from Western versus Eastern sites, P = .02. Patients with nonmetastatic status had higher values (ie better outcomes) for the HUI3 hearing, HUI3 pain, and HUI2 pain, all P \u3c .05. Patients treated with a gross total resection also had better outcomes for the HUI3 hearing (P = .04). However, those who underwent a gross total resection reported having worse outcomes on the HUI3 vision (P = .02). No differences in HRQL were evident as a function of subgroup. CONCLUSIONS: By examining an international sample of survivors, we characterized the worldwide impact of medulloblastoma. This is a critical first step in developing global standards for evaluating long-term outcomes

First Diabetic Retinopathy Prevalence Study in Portugal: RETINODIAB Study-Evaluation of the Screening Programme for Lisbon and Tagus Valley Region

BACKGROUND/AIMS: In Portugal, so far, there is no study or even accurate data on the prevalence of diabetic retinopathy (DR), based on a large representative sample and on a long-term follow-up. The objective of our study was to determine the prevalence of DR based on a national screening community-based programme. METHODS: A 5-year retrospective analysis of the RETINODIAB screening programme results was implemented in Lisbon and Tagus Valley area between July 2009 and October 2014. We estimated the prevalence of retinopathy for all patients with type 2 diabetes and studied the association between known risk factors and retinopathy emergence at their first screening. RESULTS: Throughout this period, from a total of 103 102 DR readable screening examinations, 52 739 corresponded to patients who attended RETINODIAB screening at entry. Globally, DR was detected in 8584 patients (16.3%). Of these, 5484 patients (10.4%) had mild non-proliferative (NP) DR, 1457 patients (2.8%) had moderate NPDR and 672 (1.3%) had severe NPDR. Finally, 971 patients (1.8%) had proliferative DR requiring urgent referral to an ophthalmologist. The presence of any DR, non-referable DR or referable DR was strongly associated with increasing duration of diabetes and earlier age at diagnosis. CONCLUSIONS: The prevalence rate of DR in our study (16.3%) was slightly lower than other published international data. The RETINODIAB network proved to be an effective screening programme as it improved DR screening in Lisbon and Tagus Valley surrounding are

An automated cell-counting algorithm for fluorescently-stained cells in migration assays

A cell-counting algorithm, developed in Matlab®, was created to efficiently count migrated fluorescently-stained cells on membranes from migration assays. At each concentration of cells used (10,000, and 100,000 cells), images were acquired at 2.5 ×, 5 ×, and 10 × objective magnifications. Automated cell counts strongly correlated to manual counts (r2 = 0.99, P < 0.0001 for a total of 47 images), with no difference in the measurements between methods under all conditions. We conclude that our automated method is accurate, more efficient, and void of variability and potential observer bias normally associated with manual counting

First Incidence and Progression Study for Diabetic Retinopathy in Portugal, the RETINODIAB Study: Evaluation of the Screening Program for Lisbon Region

PURPOSE: To estimate the 5-year incidence and progression of diabetic retinopathy (DR) among persons with type 2 diabetes mellitus (DM). DESIGN: Population-based, prospective, cohort study. PARTICIPANTS: The RETINODIAB (Study Group for Diabetic Retinopathy Screening) program was implemented in the Lisbon and Tagus Valley area between July 2009 and December 2014. A total of 109 543 readable screening examinations were performed and corresponded to 56 903 patients who attended the screening program at entry. A total of 30 641 patients (53.85%) had at least 1 further screening event within the study period and were included in the analysis. METHODS: Participants underwent two 45° nonstereoscopic retinal digital photographs per eye according to RETINODIAB protocol. All images were graded according to the International Clinical Diabetic Retinopathy Scale. Referable diabetic retinopathy (RDR) was defined for all patients graded as moderate nonproliferative DR (NPDR), severe NPDR, or proliferative DR (PDR), with or without maculopathy or mild NPDR with maculopathy. Nonparametric estimates of the annual and cumulative incidences were obtained by Turnbull's estimator. Associations between the potential risk factors and the time to onset/progression of retinopathy were assessed through a parametric survival analysis for interval-censored data. MAIN OUTCOME MEASURES: The authors estimated the onset and progression incidence rates of DR. RESULTS: Yearly incidence of any DR in patients without retinopathy at baseline was 4.60% (95% confidence interval [CI], 3.96-4.76) in the first year, decreasing to 3.87% (95% CI, 2.57-5.78) in the fifth year. In participants with mild NPDR at baseline, the progression rate to RDR in year 1 was 1.18% (95% CI, 0.96-1.33). Incidence of any DR and RDR and DR progression rate were associated with known duration of diabetes, age at diagnosis, and use of insulin treatment. CONCLUSIONS: This longitudinal epidemiologic study provides the first Portuguese incidence DR data in a large-scale population-based cohort of type 2 diabetes after a 5-year follow-up. Duration of diabetes, age at diagnosis, and insulin treatment were associated with increasing risk of incidence and progression of DR. A personalized schedule distribution of screening intervals according to the individual patient's profile should be implemented, with resulting benefits in terms of health costs.info:eu-repo/semantics/publishedVersio

Rate dependencies and energy absorption characteristics of nanoreinforced, biofiber, and microcellular polymer composites

The effects of loading rate on bio‐, nano‐, and microcellular composite systems have been studied. Fiber–resin systems have been manufactured and dynamically tested at various speeds to assess their strain‐rate dependencies (rate hardening) and energy‐dissipation characteristics compared to conventional materials. The following composite systems have been fabricated and studied: polypropylene/sisal fiber biocomposite, hemp/vinyl ester biocomposite, thermoplastic olefin/nanoclay composite, microcellular polypropylene/sisal fiber biocomposite, and microcellular thermoplastic olefin/nanoclay composite. It has been determined that the biocomposite systems studied possess unique energy dissipation characteristics and muted rate dependence, while the nanocomposite system did not. In addition, microcellular foaming of these materials further enhanced the effects. Though the exact mechanisms at play are not fully understood at this point, it has been found that in addition to the microcellular voids, the anatomical vasculature of the natural fibers may play a role in energy dissipation processes in these hybrid materials. POLYM. COMPOS., 2011. © 2011 Society of Plastics EngineersPeer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/87107/1/21169_ftp.pd

Signalling the Dotcom bubble: a multiple changes in persistence approach

This study investigates multiple changes in persistence in the dividend-price and price-earnings ratio of the NASDAQ composite index. Recent time series methods that are capable of signalling and dating asset price bubbles are employed, in particular the method developed by Leybourne et al. (2007). The method allows for breaks between periods in which the data are integrated of order zero I(0) and integrated of order one I(1). The results confirm the existence of the so-called Dotcom bubble with its start and end dates. Furthermore, an unexpected negative bubble was also identified, extending from the beginning of the 1970s to the beginning of the 1990s, suggesting that the NASDAQ stock prices were below their fundamental values as indicated by their dividend yields, finding not previously reported in the literature. As the tools used by regulators take considerable time to take effect, methods capable of picking up warnings signals of the start of a bubble could be very useful. We conjecture that the methodology can also be applied to study recent phenomena in real estate, commodity and foreign exchange markets

Exposure of RC building structures to the marine environment of the Valencia coast

[EN] As the marine atmosphere is very harmful to reinforced concrete (RC) structures, buildings situated close to the sea are at a high risk of suffering damage. Such is the case for many of the buildings near the coast in Valencia (Spain). Most of these buildings were built between 1968 and 2007, and nowadays their RC structures are seriously damaged. This paper describes the condition of 1816 buildings that were inspected in 14 towns along the Valencia coast. From these inspections, there have been identified the main factors which are the most significant in the damage of these RC structures by the aggressive marine conditions. These factors include environmental characteristics, urban parameters, and the construction system of the buildings.Moreno, JD.; Pellicer, TM.; Adam, JM.; Bonilla Salvador, MM. (2018). Exposure of RC building structures to the marine environment of the Valencia coast. Journal of Building Engineering. 15:109-121. https://doi.org/10.1016/j.jobe.2017.11.016S1091211

Cotton, cowpea and sesame are alternative crops to cucurbits in soils naturally infested with Monosporascus cannonballus

[EN] Monosporascus cannonballus is an important cucurbit root pathogen, which has been reported in the main production areas of melon and watermelon in Brazil and worldwide and potentially capable to colonize roots of different species. Crop rotation is considered an effective management strategy to prevent this disease. The aim of this study was to evaluate the response of different crops, pumpkin, cotton, cowpea, sesame, watermelon, melon, corn, cucumber, sorghum and tomato, to the infection of this pathogen. Seedlings were transplanted into plastic containers with an inoculum concentration of 20 colony-forming units (CFU) g(-1) of M.cannonballus. Fifty days after transplanting, the variables analysed were the degree of disease severity on the root system and the frequency of reisolation. On cucurbits, the results demonstrated different degrees of susceptibility among crops and cultivars, being melon and watermelon the most sensitive species. In contrast, Cucurbita cultivars were the most tolerant. Regarding non-cucurbit crops, maize, sorghum and tomato presented root discoloration and M.cannonballus was reisolated from roots. Cotton, cowpea and sesame cultivars were not affected by the pathogen, so they can be considered as alternative crops to be cultivated, or in rotation with cucurbits, in M.cannonballus infested soils.We are thankful to Conselho Nacional de Desenvolvimento Cientifico e Tecnologico-CNPq for the research fellowships granted to Rui Sales Junior e Erika Valente de Medeiros.Sales, R.; Días Balbino, DA.; Mitsa Paiva Negreiros, A.; Da Silva Barboza, H.; Valente De Medeiros, E.; Armengol Fortí, J. (2018). Cotton, cowpea and sesame are alternative crops to cucurbits in soils naturally infested with Monosporascus cannonballus. Journal of Phytopathology. 166(6):396-402. https://doi.org/10.1111/jph.12698S396402166