Capecitabine plus oxaliplatin as first-line treatment in patients with advanced biliary system adenocarcinoma: a prospective multicentre phase II trial

This prospective multicentre phase II study characterises the toxicity and activity of first-line capecitabine and oxaliplatin combination therapy (CAPOX) in advanced biliary system adenocarcinomas. Patients received oxaliplatin (130 mg m−2, day 1) plus capecitabine (1000 mg m−2 b.i.d., days 1–14) every 3 weeks. Patients were stratified prospectively into two groups based on location of the primary (gallbladder carcinoma (GBC) or extrahepatic cholangiocarcinoma (ECC) versus intrahepatic mass-forming type cholangiocarcinoma (ICC)). Sixty-five patients were evaluable. The response rate in 47 patients with GBC/ECC was 27% (4% complete responses), and in 23 patients (49%) stable disease (SD) was encountered. In 18 patients with ICC, we observed no objective responses, but 6 patients (33%) had SD. Median survival was 12.8 months (95% CI, 10.0–15.6) for patients with GBC or ECC (GBC: 8.2 months; 95% CI, 4.3–11.7; ECC: 16.8 months; 95% CI, 12.7–20.5), and 5.2 months (95% CI, 0.6–9.8) for ICC patients. In both cohorts, therapy was well tolerated. The most common grade 3–4 toxicity was peripheral sensory neuropathy (11 patients). Our data suggest that the CAPOX regimen is a well-tolerated and active treatment option for advanced ECC and GBC but might produce poorer results for ICC

Herniation Pits in Human Mummies: A CT Investigation in the Capuchin Catacombs of Palermo, Sicily

Herniation pits (HPs) of the femoral neck were first described in a radiological publication in 1982 as round to oval radiolucencies in the proximal superior quadrant of the femoral neck on anteroposterior radiographs of adults. In following early clinical publications, HPs were generally recognized as an incidental finding. In contrast, in current clinical literature they are mentioned in the context of femoroacetabular impingement (FAI) of the hip joint, which is known to cause osteoarthritis (OA). The significance of HPs in chronic skeletal disorders such as OA is still unclear, but they are discussed as a possible radiological indicator for FAI in a large part of clinical studies

Mindful Aging: The Effects of Regular Brief Mindfulness Practice on Electrophysiological Markers of Cognitive and Affective Processing in Older Adults

There is growing interest in the potential benefits of mindfulness meditation practices in terms of counteracting some of the cognitive effects associated with aging. Pursuing this question, the aim of the present study was to investigate the influence of mindfulness training on executive control and emotion regulation in older adults, by means of studying behavioral and electrophysiological changes. Participants, 55 to 75 years of age, were randomly allocated to an 8-week mindful breath awareness training group or an active control group engaging in brain training exercises. Before and after the training period, participants completed an emotional-counting Stroop task, designed to measure attentional control and emotion regulation processes. Concurrently, their brain activity was measured by means of 64-channel electroencephalography. The results show that engaging in just over 10 min of mindfulness practice five times per week resulted in significant improvements in behavioral (response latency) and electrophysiological (N2 event-related potential) measures related to general task performance. Analyses of the underlying cortical sources (Variable Resolution Electromagnetic Tomography, VARETA) indicate that this N2-related effect is primarily associated with changes in the right angular gyrus and other areas of the dorsal attention network. However, the study did not find the expected specific improvements in executive control and emotion regulation, which may be due to the training instructions or the relative brevity of the intervention. Overall, the results indicate that engaging in mindfulness meditation training improves the maintenance of goal-directed visuospatial attention and may be a useful strategy for counteracting cognitive decline associated with aging

Biogenesis and functions of bacterial S-layers.

The outer surface of many archaea and bacteria is coated with a proteinaceous surface layer (known as an S-layer), which is formed by the self-assembly of monomeric proteins into a regularly spaced, two-dimensional array. Bacteria possess dedicated pathways for the secretion and anchoring of the S-layer to the cell wall, and some Gram-positive species have large S-layer-associated gene families. S-layers have important roles in growth and survival, and their many functions include the maintenance of cell integrity, enzyme display and, in pathogens and commensals, interaction with the host and its immune system. In this Review, we discuss our current knowledge of S-layer and related proteins, including their structures, mechanisms of secretion and anchoring and their diverse functions

Parks, people, and conservation: A review of management issues in nepal's protected areas

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/43480/1/11111_2005_Article_BF01254607.pd

Modelling and experimental analysis of the effect of solute iron in thermally grown Zircaloy-4 oxides

Simulations based on density functional theory (DFT) were used to investigate the behaviour of substitutional iron in both tetragonal and monoclinic ZrO2. Brouwer diagrams of predicted defect concentrations, as a function of oxygen partial pressure, suggest that iron behaves as a p-type dopant in monoclinic ZrO2 while it binds strongly to oxygen vacancies in tetragonal ZrO2. Analysis of defect relaxation volumes suggest that these results should hold true in thermally grown oxides on zirconium, which is under compressive stresses. X-ray absorption near edge structure (XANES) measurements, performed to determine the oxidation state of iron in Zircaloy-4 oxide samples, revealed that 3 + is the favourable oxidation state but with between a third and half of the iron, still in the metallic Fe0 state. The DFT calculations on bulk zirconia agree with the preferred oxidation state of iron if it is a substitutional species but do not predict the presence of metallic iron in the oxide. The implications of these results with respect to the corrosion and hydrogen pick-up of zirconium cladding are discussed

The progress of SPP oxidation in zircaloy-4 and its relation to corrosion and hydrogen pickup

The evolution of Cr and Fe within the oxide formed on Zircaloy-4 in high-temperature pure water and a high-pH aqueous environment has been followed in detail by electron energy loss spectroscopy (EELS). The oxidation states of Cr, Fe and Zr have been determined as a function of exposure time and location in the oxide film. Much Cr and all the Fe diffuse out of the original Laves phase and precipitate within cracks or on the outer oxide surface. Cr oxidation is complete prior to transition; Fe oxidation occurs mainly after transition. The different hypotheses concerning the mechanisms by which the alloying elements influence oxidation and hydrogen pickup are examined in the light of this information. The mechanisms which agree with these observations include: doping of the bulk ZrO2 by low levels of alliovalent cations; doping ZrO2 grain boundaries with alliovalent cations; injection of holes into near-surface oxide by islands of Fe2O3; reaction of water with islands of metallic Fe (and Ni) on surfaces of internal cracks around transition; control of transition by mechanical propertie

The progress of SPP oxidation in zircaloy-4 and its relation to corrosion and hydrogen pickup

The evolution of Cr and Fe within the oxide formed on Zircaloy-4 in high-temperature pure water and a high-pH aqueous environment has been followed in detail by electron energy loss spectroscopy (EELS). The oxidation states of Cr, Fe and Zr have been determined as a function of exposure time and location in the oxide film. Much Cr and all the Fe diffuse out of the original Laves phase and precipitate within cracks or on the outer oxide surface. Cr oxidation is complete prior to transition; Fe oxidation occurs mainly after transition. The different hypotheses concerning the mechanisms by which the alloying elements influence oxidation and hydrogen pickup are examined in the light of this information. The mechanisms which agree with these observations include: doping of the bulk ZrO2 by low levels of alliovalent cations; doping ZrO2 grain boundaries with alliovalent cations; injection of holes into near-surface oxide by islands of Fe2O3; reaction of water with islands of metallic Fe (and Ni) on surfaces of internal cracks around transition; control of transition by mechanical propertie