Response of pulmonary artery intimal sarcoma to surgery, radiotherapy and chemotherapy: a case report

<p>Abstract</p> <p>Introduction</p> <p>Pulmonary artery intimal sarcoma is a rare disease with no characteristic symptoms. It is difficult to diagnose early and is frequently misdiagnosed as a pulmonary embolism.</p> <p>Case presentation</p> <p>Here we report a case of pulmonary artery intimal sarcoma in a 54-year-old woman presenting with complaints of shortness of breath on exertion. Echocardiography and a computed tomography scan showed that the right pulmonary artery trunk was blocked by a low-density mass. The patient was diagnosed with pulmonary artery intimal sarcoma by pathology and a complete mass resection was performed. After experiencing 10 months of disease-free survival, she was re-admitted because of the recurrence and metastasis of the tumor. Radiotherapy and chemotherapy were performed; however, only limited success was achieved. The patient died 15 months after the initial onset of symptoms.</p> <p>Conclusion</p> <p>Some patients with intimal sarcoma of the pulmonary artery can benefit from radiotherapy and chemotherapy as well as surgery.</p

A Novel Bacterial 6-Phytase Improves Growth Performance, Tibia Mineralization and Precaecal Digestibility of Phosphorus in Broilers: Data from Four Independent Performance Trials

A series of four broiler performance studies were conducted in different facilities to investigate the efficacy of a novel bacterial 6-phytase added at 500 FTU/kg diet on growth performance, bone mineralization and precaecal digestibility of phosphorus (pcdP) in broilers fed diets deficient in available P (avP) and calcium (Ca). The experimental design was the same for all studies, with each having three treatments: positive control (PC) diet formulated to meet or exceed the requirements of birds, negative control (NC) diet similarly reduced by 0.15% points in avP and Ca compared to the PC diet, and the NC diet supplemented with phytase (PHY) at 500 FTU/kg diet from 1 to 35 days of age. Body weight (BW) and feed intake were measured at 21 and 35 days of age, and average daily gain (ADG), average daily feed intake (ADFI), feed conversion ratio (FCR), BW gain-corrected-FCR (cFCR), mortality and European performance efficiency factor (EPEF) were calculated. Tibia dry matter, tibia ash content and pcd of P were measured at 21 days of age in all experiments. The analysis of the data from the four experiments showed that compared with birds fed the adequate-nutrient diet, birds fed the NC diet resulted in a decrease (p < 0.05) in BW, ADG, ADFI and EPEF by 6.4, 6.3, 5.9 and 7.1%, respectively, and an increase in (p = 0.02) cFCR by 2.0%. The tibia dry matter and tibia ash content of these birds were also reduced (p < 0.001) by 3.8 and 4.0% points, respectively. PHY diets improved (p < 0.05) BW, ADG, ADFI, EPEF and cFCR by 8.0, 8.3, 7.3, 10.6 and 2.8%, respectively. Phytase addition at 500 FTU/kg diet also increased (p < 0.001) the tibia dry matter and tibia ash content by 3.5 and 4.2% points, respectively. The pcd of P was improved (p < 0.001) by 11.1 and 11.3% points, in comparison with NC and PC diets, respectively, when phytase was added. These performance parameters and tibia mineralization obtained with a diet supplemented with phytase were comparable to or better than the PC diet. The results demonstrated that avP and Ca could be lowered similarly by 0.15% points in broilers diets by using the new bacterial 6-phytase at 500 FTU/kg diet.info:eu-repo/semantics/publishedVersio

Investigation of Adhesion and Tribological Behavior of Borided AISI 310 Stainless Steel

In the present study, the effects of the boriding process on adhesion and tribological properties of AISI 310 steel were investigated. Boriding was performed in a solid medium consisting of Ekabor-II powders at 1123 and 1323K for 2 and 6 h. The boride layer was characterized by optical microscopy, the X-ray diffraction technique and the micro-Vickers hardness tester. The X-ray diffraction analysis of the boride layers on the surface of the steels revealed the existence of FexBy, CrxBy and NixBy compounds. Depending on the chemical composition of substrates, the boride layer thickness on the surface of the AISI 310 steel was found to be 56.74 &#956;m. The hardness of the boride compounds formed on the surface of the AISI 310 steel ranged from 1658 to 2284 HV0,1, whereas the Vickers hardness value of the untreated steel AISI 310 was 276 HV0,1. The wear tests were carried out in a ball-disc arrangement under a dry friction condition at room temperature with an applied load of 10N and with a sliding speed of 0.3 m/s, at a sliding distance of 1000m. The wear surfaces of the steel were analyzed using an SEM microscopy and X-ray energy dispersive spectroscopy EDS. It was observed that the wear rate of unborided and borided AISI 310 steel ranged from 4.57 to 71.42 mm3/Nm

Wolcott-Rallison syndrome

Wolcott-Rallison syndrome (WRS) is a rare autosomal recessive disease, characterized by neonatal/early-onset non-autoimmune insulin-requiring diabetes associated with skeletal dysplasia and growth retardation. Fewer than 60 cases have been described in the literature, although WRS is now recognised as the most frequent cause of neonatal/early-onset diabetes in patients with consanguineous parents. Typically, diabetes occurs before six months of age, and skeletal dysplasia is diagnosed within the first year or two of life. Other manifestations vary between patients in their nature and severity and include frequent episodes of acute liver failure, renal dysfunction, exocrine pancreas insufficiency, intellectual deficit, hypothyroidism, neutropenia and recurrent infections. Bone fractures may be frequent. WRS is caused by mutations in the gene encoding eukaryotic translation initiation factor 2α kinase 3 (EIF2AK3), also known as PKR-like endoplasmic reticulum kinase (PERK). PERK is an endoplasmic reticulum (ER) transmembrane protein, which plays a key role in translation control during the unfolded protein response. ER dysfunction is central to the disease processes. The disease variability appears to be independent of the nature of the EIF2AK3 mutations, with the possible exception of an older age at onset; other factors may include other genes, exposure to environmental factors and disease management. WRS should be suspected in any infant who presents with permanent neonatal diabetes associated with skeletal dysplasia and/or episodes of acute liver failure. Molecular genetic testing confirms the diagnosis. Early diagnosis is recommended, in order to ensure rapid intervention for episodes of hepatic failure, which is the most life threatening complication. WRS should be differentiated from other forms of neonatal/early-onset insulin-dependent diabetes based on clinical presentation and genetic testing. Genetic counselling and antenatal diagnosis is recommended for parents of a WRS patient with confirmed EIF2AK3 mutation. Close therapeutic monitoring of diabetes and treatment with an insulin pump are recommended because of the risk of acute episodes of hypoglycaemia and ketoacidosis. Interventions under general anaesthesia increase the risk of acute aggravation, because of the toxicity of anaesthetics, and should be avoided. Prognosis is poor and most patients die at a young age. Intervention strategies targeting ER dysfunction provide hope for future therapy and prevention

Genome instability is a consequence of transcription deficiency in patients with bone marrow failure harboring biallelic ERCC6L2 variants

Bloodwise Program Grant (14032) and the Medical Research Council Research Grant (MR/P018440)

Reticulated origin of domesticated emmer wheat supports a dynamic model for the emergence of agriculture in the fertile crescent

We used supernetworks with datasets of nuclear gene sequences and novel markers detecting retrotransposon insertions in ribosomal DNA loci to reassess the evolutionary relationships among tetraploid wheats. We show that domesticated emmer has a reticulated genetic ancestry, sharing phylogenetic signals with wild populations from all parts of the wild range. The extent of the genetic reticulation cannot be explained by post-domestication gene flow between cultivated emmer and wild plants, and the phylogenetic relationships among tetraploid wheats are incompatible with simple linear descent of the domesticates from a single wild population. A more parsimonious explanation of the data is that domesticated emmer originates from a hybridized population of different wild lineages. The observed diversity and reticulation patterns indicate that wild emmer evolved in the southern Levant, and that the wild emmer populations in south-eastern Turkey and the Zagros Mountains are relatively recent reticulate descendants of a subset of the Levantine wild populations. Based on our results we propose a new model for the emergence of domesticated emmer. During a pre-domestication period, diverse wild populations were collected from a large area west of the Euphrates and cultivated in mixed stands. Within these cultivated stands, hybridization gave rise to lineages displaying reticulated genealogical relationships with their ancestral populations. Gradual movement of early farmers out of the Levant introduced the pre-domesticated reticulated lineages to the northern and eastern parts of the Fertile Crescent, giving rise to the local wild populations but also facilitating fixation of domestication traits. Our model is consistent with the protracted and dispersed transition to agriculture indicated by the archaeobotanical evidence, and also with previous genetic data affiliating domesticated emmer with the wild populations in southeast Turkey. Unlike other protracted models, we assume that humans played an intuitive role throughout the process.Natural Environment Research Council [NE/E015948/1]; Slovak Research and Development Agency [APVV-0661-10, APVV-0197-10]info:eu-repo/semantics/publishedVersio