Salivary cytokines as biomarkers for oral squamous cell carcinoma: A systematic review

The prognosis of patients with oral squamous carcinoma (OSCC) largely depends on the stage at diagnosis, the 5-year survival rate being approximately 30% for advanced tumors. Early diagnosis, including the detection of lesions at risk for malignant transformation, is crucial for limiting the need for extensive surgery and for improving disease-free survival. Saliva has gained popularity as a readily available source of biomarkers (including cytokines) useful for diagnosing specific oral and systemic conditions. Particularly, the close interaction between oral dysplastic/neoplastic cells and saliva makes such fluid an ideal candidate for the development of non-invasive and highly accurate diagnostic tests. The present review has been designed to answer the question: “Is there evidence to support the role of specific salivary cytokines in the diagnosis of OSCC?” We retrieved 27 observational studies satisfying the inclusion and exclusion criteria. Among the most frequent cytokines investigated as candidates for OSCC biomarkers, IL-6, IL-8, TNF-α are present at higher concentration in the saliva of OSCC patients than in healthy controls and may therefore serve as basis for the development of rapid tests for early diagnosis of oral cancer

Evidence of impact of aviation on cirrus cloud formation

International audienceThis work examines changes in cirrus cloud cover (CCC) in possible association with aviation activities at congested air corridors. The analysis is based on the latest version of the International Satellite Cloud Climatology Project D2 data set and covers the period 1984-1998. Over the studied areas, the effect of large-scale modes of natural climate variability such as ENSO, QBO and NAO as well as the possible influence of the tropopause variability, were first removed from the cloud data set in order to calculate long-term changes of observed cirrus cloudiness. The results show increasing trends in (CCC) between 1984 and 1998 over the high air traffic corridors of North America, North Atlantic and Europe. Of these upward trends, only in the summertime over the North Atlantic and only in the wintertime over North America are statistically significant (exceeding +2.0% per decade). Over adjacent locations with low air traffic, the calculated trends are statistically insignificant and in most cases negative both during winter and summer in the regions studied. These negative trends, over low air traffic regions, are consistent with the observed large scale negative trends seen in (CCC) over most of the northern middle latitudes and over the tropics. Moreover, further investigation of vertical velocities over high and low air traffic regions provide evidence that the trends of opposite signs in (CCC) over these regions, do not seem to be caused by different trends in dynamics. It is also shown that the longitudinal distribution of decadal changes in (CCC) along the latitude belt centered at the North Atlantic air corridor, parallels the spatial distribution of fuel consumption from highflying air traffic, providing an independent test of possible impact of aviation on contrail cirrus formation. The correlation between the fuel consumption and the longitudinal variability of (CCC) is significant (+0.7) over the middle latitudes but not over the tropics. This could be explained by the fact that over the tropics the variability of (CCC) is dominated by dynamics while at middle latitudes microphysics explain most of its variability. Results from this study are compared with other studies and for different periods of records and it appears that there exists general agreement as to the evidence of a possible aviation effect on high cloud positive trends over regions with congested air traffic.</p

Study of the effect of different type of aerosols on UV-B radiation from measurements during EARLINET

International audienceRoutine lidar measurements of the vertical distribution of the aerosol extinction coefficient and the extinction-to-backscatter ratio have been performed at Thessaloniki, Greece using a Raman lidar system in the frame of the EARLINET project since 2000. Spectral and broadband UV-B irradiance measurements, as well as total ozone observations, were available whenever lidar measurements were obtained. From the available measurements several cases could be identified that allowed the study of the effect of different types of aerosol on the levels of the UV-B solar irradiance at the Earth's surface. The TUV radiative transfer model has been used to simulate the irradiance measurements, using total ozone and the lidar aerosol data as input. From the comparison of the model results with the measured spectra the effective single scattering albedo was determined using an iterative procedure, which has been verified against results from the 1998 Lindenberg Aerosol Characterization Experiment. It is shown that the same aerosol optical depth and same total ozone values can show differences up to 10% in the UV-B irradiance at the Earth's surface, which can be attributed to differences in the aerosol type. It is shown that the combined use of the estimated single scattering albedo and the measured extinction-to-backscatter ratio leads to a better characterization of the aerosol type probed

Nine years of UV aerosol optical depth measurements at Thessaloniki, Greece

Spectral measurements of the aerosol optical depth (AOD) and the &Aring;ngström coefficient were conducted at Thessaloniki, Greece (40.5&deg; N, 22.9&deg; E) between January 1997 and December 2005 with a Brewer MKIII double-monochromator spectroradiometer. The dataset was compared with collocated measurements of a second spectroradiometer (Brewer MKII) and a CIMEL sun-photometer, showing correlations of 0.93 and 0.98, respectively. A seasonal variation of the AOD was observed at Thessaloniki, with AOD values at 340 nm of 0.52 and 0.28 for August and December respectively. Back trajectories of air masses for up to 4 days were used to assess the influence of long-range transport from various regions to the aerosol load over Thessaloniki. It is shown that part of the observed seasonality can be attributed to air masses with high AOD originating from North-Eastern and Eastern directions during summertime. The analysis of the long-term record (9 years) of AOD showed a downward tendency. A similar decreasing tendency was found in the record of the PM$_{10}$ aerosol measurements, which are conducted near the surface at 4 air-quality monitoring stations in the area of the city of Thessaloniki

Detecting volcanic sulfur dioxide plumes in the Northern Hemisphere using the Brewer spectrophotometer, other networks, and satellite observations

This paper demonstrates that SO 2 columnar amounts have significantly increased following the five largest volcanic eruptions of the past decade in the Northern Hemisphere. A strong positive signal was detected by all the existing networks either ground based (Brewer, EARLINET, AirBase) or from satellites (OMI, GOME-2). The study particularly examines the adequacy of the existing Brewer network to detect SO 2 plumes of volcanic origin in comparison to other networks and satellite platforms. The comparison with OMI and 45 GOME-2 SO 2 space-borne retrievals shows statistically significant agreement between the Brewer network data and the collocated satellite overpasses. It is shown that the Brewer instrument is capable of detecting significant columnar SO 2 increases following large volcanic eruptions, when SO 2 levels rise well above the instrumental noise of daily observations, estimated to be of the order of 2 DU. A model exercise from the MACC project shows that the large increases of SO 2 over Europe following the Bárðarbunga eruption in Iceland were not caused by local sources or ship emissions but are clearly linked to the eruption. We propose that by combining Brewer data with that from other networks and satellites, a useful tool aided by trajectory analyses and modeling could be created which can be used to forecast high SO 2 values both at ground level and in air flight corridors following future eruptions

Study of the effect of different type of aerosols on UV-B radiation from measurements during EARLINET

Routine lidar measurements of the vertical distribution of the aerosol extinction coefficient and the extinction-to-backscatter ratio have been performed at Thessaloniki, Greece using a Raman lidar system in the frame of the EARLINET project since 2000. Co-located spectral and broadband solar UV-B irradiance measurements, as well as total ozone observations, were available whenever lidar measurements were obtained. From the available measurements several cases could be identified that allowed the study of the effect of different types of aerosol on the levels of the UV-B solar irradiance at the Earth's surface. The TUV radiative transfer model has been used to simulate the irradiance measurements, using total ozone and the lidar aerosol data as input. From the comparison of the model results with the measured spectra the effective single scattering albedo was determined using an iterative procedure, which has been verified against results from the 1998 Lindenberg Aerosol Characterization Experiment. It is shown that for the same aerosol optical depth and for the same total ozone values the UV-B irradiances at the Earth's surface can show differences up to 10%, which can be attributed to differences in the aerosol type. It is shown that the combined use of the estimated single scattering albedo and of the measured extinction-to-backscatter ratio leads to a better characterization of the aerosol type probed

TEMIS UV product validation using NILU-UV ground-based measurements in Thessaloniki, Greece

This study aims to cross-validate ground-based and satellite-based models of three photobiological UV effective dose products: the Commission Internationale del’Éclairage (CIE) erythemal UV, the production of vitamin D in the skin, and DNA damage, using high-temporal resolution surface-based measurements of solar UV spectral irradiances from a synergy of instruments and models. The satellite-based Tropospheric Emission Monitoring Internet Service (TEMIS; version 1.4) UV daily dose data products were evaluated over the period 2009 to 2014 with ground-based data from a Norsk Institutt for Luftforskning (NILU)-UV multifilter radiometer located at the northern midlatitude super-site of the Laboratory of Atmospheric Physics, Aristotle University of Thessaloniki (LAP/AUTh), in Greece. For the NILU-UV effective dose rates retrieval algorithm, a neural network (NN) was trained to learn the nonlinear functional relation between NILU-UV irradiances and collocated Brewer-based photobiological effective dose products. Then the algorithm was subjected to sensitivity analysis and validation. The correlation of the NN estimates with target outputs was high (r = 0.988 to 0.990) and with a very low bias (0.000 to 0.011 in absolute units) proving the robustness of the NN algorithm. For further evaluation of the NILU NN-derived products, retrievals of the vitamin D and DNA-damage effective doses from a collocated Yankee Environmental Systems (YES) UVB-1 pyranometer were used. For cloud-free days, differences in the derived UV doses are better than 2 % for all UV dose products, revealing the reference quality of the ground-based UV doses at Thessaloniki from the NILU-UV NN retrievals. The TEMIS UV doses used in this study are derived from ozone measurements by the SCIAMACHY/Envisat and GOME2/MetOp-A satellite instruments, over the European domain in combination with SEVIRI/Meteosat-based diurnal cycle of the cloud cover fraction per 0.5◦ × 0.5◦ (lat × long) grid cells. TEMIS UV doses were found to be ∼ 12.5 % higher than the NILU NN estimates but, despite the presence of a visually apparent seasonal pattern, the R 2 values were found to be robustly high and equal to 0.92–0.93 for 1588 all-sky coincidences. These results significantly improve when limiting the dataset to cloud-free days with differences of 0.57 % for the erythemal doses, 1.22 % for the vitamin D doses, and 1.18 % for the DNA-damage doses, with standard deviations of the order of 11–13 %. The improvement of the comparative statistics under cloud-free cases further testifies to the importance of the appropriate consideration of the contribution of clouds in the UV radiation reaching the Earth’s surface. For the urban area of Thessaloniki, with highly variable aerosol, the weakness of the implicit aerosol information introduced to the TEMIS UV dose algorithm was revealed by comparison of the datasets to aerosol optical depths at 340 nm as reported by a collocated CIMEL sun photometer, operating in Thessaloniki at LAP/AUTh as part of the NASA Aerosol Robotic Network

Malignant melanoma of the mandibular gingiva

Oral malignant melanoma is an infrequent neoplasia making up less than 1% of all melanomas, which exhibits much more aggressive behavior than those found on the skin. We present an aggressive case of oral malignant melanoma located on the mandibular gingiva in a 24-year-old male patient, who developed metastases to not only the regional lymph nodes but also the lungs and liver. The advanced stage of the disease contraindicated any surgical intervention and palliative chemotherapy was planned

Total Shoulder Arthroplasty

Shoulder arthroplasty has been the subject of marked advances over the last few years. Modern implants provide a wide range of options, including resurfacing of the humeral head, anatomic hemiarthroplasty, total shoulder arthroplasty, reverse shoulder arthroplasty and trauma-specific implants for fractures and nonunions. Most humeral components achieve successful long-term fixation without bone cement. Cemented all-polyethylene glenoid components remain the standard for anatomic total shoulder arthroplasty. The results of shoulder arthroplasty vary depending on the underlying diagnosis, the condition of the soft-tissues, and the type of reconstruction. Total shoulder arthroplasty seems to provide the best outcome for patients with osteoarthritis and inflammatory arthropathy. The outcome of hemiarthroplasty for proximal humerus fractures is somewhat unpredictable, though it seems to have improved with the use of fracture-specific designs, more attention to tuberosity repair, and the selective use of reverse arthroplasty, as well as a shift in indications towards internal fixation. Reverse shoulder arthroplasty has become extremely popular for patients with cuff-tear arthropathy, and its indications have been expanded to the field of revision surgery. Overall, shoulder arthroplasty is a very successful procedure with predictable pain relief and substantial improvements in motion and function