Diagnosis of Lingual Atrophic Conditions: Associations with Local and Systemic Factors. A Descriptive Review

Abstract: Atrophic glossitis is a condition characterised by absence of filiform or fungiform papillae on the dorsal surface of the tongue. Consequently, the ordinary texture and appearance of the dorsal tongue, determined by papillary protrusion, turns into a soft and smooth aspect. Throughout the years, many factors, both local and systemic, have been associated with atrophic glossitis as the tongue is currently considered to be a mirror of general health. Moreover, various tongue conditions were wrongly diagnosed as atrophic glossitis. Oral involvement can conceal underlying systemic conditions and, in this perspective, the role of clinicians is fundamental. Early recognition of oral signs and symptoms, through a careful examination of oral anatomical structures, plays a crucial role in providing patients with a better prognosis

Two-dimensional Ising model with Einstein site phonons

This work was supported by CONICET (Argentina), and ANPCYT (Argentina) via Grant PICT-2013-2004.We consider a simple Ising magnetic model in two dimensions with Einstein site phonons and study it using Monte Carlo simulations that take into account both degrees of freedom simultaneously. In nonfrustrated systems, like the square lattice with ferromagnetic and antiferromagnetic interactions, we find that the coupling of the magnetic to the elastic degrees of freedom gradually lowers the magnetic ordering transition until it is completely suppressed at a critical value of the coupling constant. Above this the system suffers a simultaneous magnetic and structural transition into a dimerized state with lower crystalline symmetry and ferromagnetic clusters antiferromagnetically aligned. In the case of the Kagomé lattice with antiferromagnetic interactions, which is frustrated, we show that a similar ordered state takes place when the coupling constant is above a critical value.PostprintPeer reviewe

Anomalous out-of-equilibrium dynamics in the spin-ice material Dy2Ti2O7 under moderate magnetic fields

This work was supported by Agencia Nacional de Promoción Científica y Tecnológica (ANPCyT) through grants PICT 2013-2004, PICT 2014-2618 and PICT 2017-2347, and Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) through Grant PIP 0446.We study experimentally and numerically the dynamics of the spin ice material Dy2Ti2O7 in the low temperature (T) and moderate magnetic field (B) regime (T ∈ [0.1, 1.7]  K, B ∈ [0, 0.3]  T). Our objective is to understand the main physics shaping the out-of-equilibrium magnetisation vs temperature curves in two different regimes. Very far from equilibrium, turning on the magnetic field after having cooled the system in zero field (ZFC) can increase the concentration of magnetic monopoles (localised thermal excitations present in these systems); this accelerates the dynamics. Similarly to electrolytes, this occurs through dissociation of bound monopole pairs. However, for spin ices the polarisation of the vacuum out of which the monopole pairs are created is a key factor shaping the magnetisation curves, with no analog. We observe a threshold field near 0.2 T for this fast dynamics to take place, linked to the maximum magnetic force between the attracting pairs. Surprisingly, within a regime of low temperatures and moderate fields, an extended Ohm's law can be used to describe the ZFC magnetisation curve obtained with the dipolar spin-ice model. However, in real samples the acceleration of the dynamics appears even sharper than in simulations, possibly due to the presence of avalanches. On the other hand, the effect of the field nearer equilibrium can be just the opposite to that at very low temperatures. Single crystals, as noted before for powders, abandon equilibrium at a blocking temperature TB which increases with field. Curiously, this behaviour is present in numerical simulations even within the nearest-neighbours interactions model. Simulations and experiments show that the increasing trend in TB is stronger for B||[100]. This suggests that the field plays a part in the dynamical arrest through monopole suppression, which is quite manifest for this field orientation.PostprintPeer reviewe

Ultrafine particle distribution and chemical composition assessment during military operative trainings

The assessment of airborne particulate matter (PM) and ultrafine particles (UFPs) in battlefield scenarios is a topic of particular concern; (2) Methods: Size distribution, concentration, and chemical composition of UFPs during operative military training activities (target drone launches, ammunition blasting, and inert bomb impact) were investigated using an electric low-pressure impactor (ELPI+) and a scanning electron microscope (SEM), equipped with energy-dispersive spectroscopy (EDS); (3) Results: The median of UFPs, measured for all sampling periods and at variable distance from sources, was between 1.02 × 103 and 3.75 × 103 particles/cm3 for drone launches, between 3.32 × 103 and 15.4 × 103 particles/cm3 for the ammunition blasting and from 7.9 × 103 to 1.3 × 104 particles/cm3 for inert launches. Maximum peak concentrations, during emitting sources starting, were 75.5 × 106 and 17.9 × 106 particles/cm3, respectively. Particles from the drone launches were predominantly composed of silicon (Si), iron (Fe) and calcium (Ca), and those from the blasting campaigns by magnesium (Mg), sulphur (S), aluminum (Al), iron (Fe), barium (Ba) and silicon (Si); (4) Conclusions: The investigated sources produced UFPs with median values lower than other anthropogenic sources, and with a similar chemical compositio

Barometric pumping of a fractured porous medium

International audienceBarometric pumping plays a crucial role in the release of trace gases from fractured porous media to the atmosphere, and it requires a rigorous and complete modeling in order to go beyond the approximate schemes available in the literature. Therefore, a coupled set of convection and convection-diffusion equations for a slightly compressible fluid in unsteady conditions should be solved. The numerical methodology is presented, and it is applied to conditions close to the ones of the Roselend Natural Laboratory (France). The precision of the code is assessed and the mechanism of barometric pumping is explained. The usual schematization by simple vertical fractures is shown to be only qualitative. Finally, barometric pumping is shown to be efficient in a narrow range of parameter values; its efficiency is a decreasing function of the matrix porosity and of the fracture density

Opioids in chronic non cancer pain: rational and selection criteria

The therapeutic efficacy and appearance of side effects of opioid drugs is strongly conditioned by the patient’s individual characteristics. It is impossible to know the patient’s particular pharmacogenomic connotations which determine those phenotypic expressions that make the patient more or less sensitive to the administered drug, and that also determine the presence and signifi cance of side effects. Knowledge of the patient’s hepatic opioid metabolization can aid in the choice of a more personalised therapy. To reduce the unpredictability of favourable effects and side effects, it is preferable to choose drugs that are less affected by pharmacological interactions, and that can also compromise the efficacy of the many pharmacological associations that patients undergo, especially elderly patients, who often suffer from serious organ impairments

ECOG-ACRIN (E4805) Randomized Phase II Study to Determine the Effect of 2 Different Doses of Aflibercept in Patients with Metastatic Renal Cell Carcinoma

Background—Aflibercept is a recombinantly-produced fusion protein that has potent anti-VEGF activity. We tested whether aflibercept has clinical activity in clear cell renal cell carcinoma (ccRCC). The recommended Phase 2 dose was 4 mg/kg but several patients treated at 1 mg/kg demonstrated prolonged progression-free survival (PFS). We therefore tested both doses in a parallel group randomized trial. Methods—Eligible patients (pts) had histologically confirmed advanced or metastatic ccRCC and previous treatments including prior exposure to a VEGF RTKI. Patients received aflibercept (either 1 mg/kg or 4 mg/kg) day 1 of a 14-day cycle until progression. Patients randomized to 1 mg/kg could crossover to 4 mg/kg at progression. The primary endpoint was proportion alive and progression-free at 8 weeks. A Simon 2-stage design was used for each arm with 33 and 24 eligible pts/arm enrolled in stages 1 and 2. Results—94 pts were enrolled, 59 and 35 to 4 mg and 1 mg doses, respectively. 72% had 1 prior tx most commonly sunitinib. 16 eligible pts crossed over at progression to the 4 mg dose. Most common adverse events were hypertension, proteinuria, and fatigue. Only 4 pts reported Grade 4 or higher toxicity. With 36/59 (61%) pts PFS at 8 wks, the 4-mg/kg dose met protocol specified efficacy criteria. Conclusions—Aflibercept is active in previously treated ccRCC and may be worthy of further study

A new approach to land-use structure : Patch perimeter metrics as a spatial analysis tool

This work introduces a new class of landscape metrics characterizing basic features of patch perimeters. Specific computation on patch perimeters was carried out on fine-grained land-use maps with the aim to characterize spatial patterns of neighbor patches, evidencing contact points and perimeter length between two (or more) land-use types. A detailed set of class and landscape metrics were derived from such analysis. This approach is complementary to classical landscape metrics and proved to be particularly useful to characterize complex, fragmented landscapes profiling metropolitan regions based on integrated evaluations of their structural (landscape) and functional (land-use) organization. A multivariate analysis was run to characterize distinctive spatial patterns of the selected metrics in four metropolitan regions of southern Europe reflecting different morphological configurations (Barcelona: compact, polycentric; Lisbon: dispersed, mono-centric; Rome: dispersed, polycentric; and Athens: compact, mono-centric). Perimeter metrics assumed different values for each investigated land-use type, with peculiar characteristics associated to each city. Land-use types assessing residential, discontinuous urban patches were associated to particularly high values of perimeter metrics, possibly indicating patch fragmentation, spatially-associated distribution of land-use types and landscape complexity. Multivariate analysis indicates substantial differences among cities, reflecting the range of morphological configurations described above (from compact mono-centric to dispersed polycentric) and suggesting that urban expansion is accompanied with multiple modifications in the use of the surrounding non-urban land. The computational approach proposed in this study and based on spatially-explicit metrics of landscape configuration and proximity may reflect latent changes in local socio-spatial structures. Our results demonstrate that scattered urban expansion determines a polarization in suburban areas with highly fragmented and more homogeneous landscapes, respectively, associated with mixed cropland and forest systems

Structural variation and fusion detection using targeted sequencing data from circulating cell free DNA

MOTIVATION: Cancer is a complex disease that involves rapidly evolving cells, often forming multiple distinct clones. In order to effectively understand progression of a patient-specific tumor, one needs to comprehensively sample tumor DNA at multiple time points, ideally obtained through inexpensive and minimally invasive techniques. Current sequencing technologies make the 'liquid biopsy' possible, which involves sampling a patient's blood or urine and sequencing the circulating cell free DNA (cfDNA). A certain percentage of this DNA originates from the tumor, known as circulating tumor DNA (ctDNA). The ratio of ctDNA may be extremely low in the sample, and the ctDNA may originate from multiple tumors or clones. These factors present unique challenges for applying existing tools and workflows to the analysis of ctDNA, especially in the detection of structural variations which rely on sufficient read coverage to be detectable. RESULTS: Here we introduce SViCT , a structural variation (SV) detection tool designed to handle the challenges associated with cfDNA analysis. SViCT can detect breakpoints and sequences of various structural variations including deletions, insertions, inversions, duplications and translocations. SViCT extracts discordant read pairs, one-end anchors and soft-clipped/split reads, assembles them into contigs, and re-maps contig intervals to a reference genome using an efficient k-mer indexing approach. The intervals are then joined using a combination of graph and greedy algorithms to identify specific structural variant signatures. We assessed the performance of SViCT and compared it to state-of-the-art tools using simulated cfDNA datasets with properties matching those of real cfDNA samples. The positive predictive value and sensitivity of our tool was superior to all the tested tools and reasonable performance was maintained down to the lowest dilution of 0.01% tumor DNA in simulated datasets. Additionally, SViCT was able to detect all known SVs in two real cfDNA reference datasets (at 0.6-5% ctDNA) and predict a novel structural variant in a prostate cancer cohort