3,168 research outputs found

    Limitations and perceived delays for diagnosis and staging of lung cancer in Portugal: A nationwide survey analysis

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    Background: We aimed to identify the perception of physicians on the limitations and delays for diagnosing, staging and treatment of lung cancer in Portugal. Methods: Portuguese physicians were invited to participate an electronic survey (Feb-Apr-2020). Descriptive statistical analyses were performed, with categorical variables reported as absolute and relative frequencies, and continuous variables with non-normal distribution as median and interquartile range (IQR). The association between categorical variables was assessed through Pearson's chi-square test. Mann-Whitney test was used to compare categorical and continuous variables (Stata v.15.0). Results: Sixty-one physicians participated in the study (45 pulmonologists, 16 oncologists), with n = 26 exclusively assisting lung cancer patients. Most experts work in public hospitals (90.16%) in Lisbon (36.07%). During the last semester of 2019, responders performed a median of 85 (IQR 55-140) diagnoses of lung cancer. Factors preventing faster referral to the specialty included poor articulation between services (60.0%) and patients low economic/cultural level (44.26%). Obtaining National Drugs Authority authorization was one of the main reasons (75.41%) for delaying the begin of treatment. The cumulative lag-time from patients' admission until treatment ranged from 42-61 days. Experts believe that the time to diagnosis could be optimized in around 11.05 days [IQR 9.61-12.50]. Most physicians (88.52%) started treatment before biomarkers results motivated by performance status deterioration (65.57%) or high tumor burden (52.46%). Clinicians exclusively assisting lung cancer cases reported fewer delays for obtaining authorization for biomarkers analysis (p = 0.023). Higher waiting times for surgery (p = 0.001), radiotherapy (p = 0.004), immunotherapy (p = 0.003) were reported by professionals from public hospitals. Conclusions: Physicians believe that is possible to reduce delays in all stages of lung cancer diagnosis with further efforts from multidisciplinary teams and hospital administration.his work was supported by AstraZeneca. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscripinfo:eu-repo/semantics/publishedVersio

    Tree breeding and mycorrhizal symbiosis as important tools in forestation processes

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    Higher growth rate and morphological traits have been the major criteria for selecting trees classified as improved in breeding programs. The symbiotic associations between P. pinaster and ectomycorrhizal fungi can be an effective approach to enhance plant development. The aim of this work was to assess whether the establishment of mycorrhizal symbiosis at nursery stage was affected by tree breeding. P. pinaster improved and non-improved seedlings were inoculated with compatible ectomycorrhizal fungi: Suillus bovinus, Pisolithus tinctorius or Rhizopogon roseolus, and grown in individual cells containing forest soil, in a commercial forest nursery. Growth and nutritional traits, colonisation parameters and the fungal community established were assessed. R. roseolus and P. tinctorius were the most efficient isolates in promoting plant development. Inoculated improved saplings had an overall superior development than their non-improved counterparts, with up to a 4.9-fold in root dry weight and a 13.6-fold increase in the total number of ectomycorrhizal root tips. Differences in fungal community were revealed through the denaturing gradient gel electrophoresis profile of each treatment. The results from our study suggest that improved seedlings benefit more from the mycorrhizal association and therefore this could be a valuable biotechnological tool for the nursery production of improved P. pinaster

    Succession dynamics of ectomycorrhizal fungi in inoculated Quercus rubra seedlings – a field study

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    Selected ectomycorrhizal (ECM) fungi may have a beneficial effect on the establishment of nursery grown seedlings and may influence their survival on the first years. By increasing seedling capacity to capture nutrients, ECM fungi often contribute to a successful plant establishment. We investigated the performance of pre-inoculated Quercus rubra seedlings on a reforestation site and monitored ECM fungal persistence and succession dynamics between selected ECM fungi and native fungal community. Nursery grown Q. rubra seedlings inoculated with a mixture of ECM fungi (Cenococcum geophilum, Hebeloma crustuliniforme, H. mesophaeum, H. velutipes, Paxillus involutus, Scleroderma citrinum) and non-inoculated control oak seedlings, were transplanted to Serra da Cabreira in Northern Portugal. Two years after planting, the subsistence of the inoculated ECM fungi was assessed using ITS-DGGE. Results demonstrated that inoculation with selected ECM fungi at nursery stage promoted the establishment and improved the growth performance of out planted oak seedlings. C. geophilum was significantly associated with inoculated saplings but other ECM fungi species were also found. Moreover, ECM fungal communities of inoculated and non-inoculated samples are significantly different. Further monitoring is required to increase knowledge on the persistence of ECM fungal communities and their succession dynamics

    Reforestation of burned stands: the effect of ectomycorrhizal fungi on Pinus pinaster establishment

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    The area occupied by Pinus pinaster in Portugal is rapidly diminishing because of forest fires. Ectomycorrhizal fungi form obligate, mutually beneficial associations with P. pinaster which improve plant growth and resistance to adverse conditions. The aim of this work was to assess whether native ectomycorrhizal fungi could be a useful tool in the reforestation of burned areas. The work was conducted in a forest nursery greenhouse, where P. pinaster seedlings were inoculated with compatible ectomycorrhizal fungal isolates: Suillus bovinus, Pisolithus tinctorius, Rhizopogon roseolus, and a mixture of the three fungi, using burned and unburned forest soil as substrate. Inoculation significantly enhanced the growth of P. pinaster, with R. roseolus proving to be the most effective in burned soil, with an 8-fold increase in plant fresh weight. Overall, inoculation stimulated growth most in burned than in unburned soil. This study suggests that inoculation with selected ectomycorrhizal fungi in containerised nurseries can be an advantageous approach for the successful establishment of P. pinaster in burned soil. The obtained results point out to the interest of extending these studies into fire-impacted areas, using ectomycorrhizal fungi as a biological tool.info:eu-repo/semantics/acceptedVersio
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