1,890 research outputs found
Expression of estrogen and progesterone receptors in vestibular schwannomas and their clinical significance
<p>Abstract</p> <p>Objective</p> <p>The objective was to determine the expression of estrogen and progesterone receptors in vestibular schwannomas as well as to determine predictive factors for estrogen and progesterone receptor positivity.</p> <p>Materials and methods</p> <p>The study included 100 cases of vestibular schwannomas operated from January 2006 to June 2009. The clinical details were noted from the medical case files. Formaldehyde-fixed parafiin-embedded archival vestibular schwannomas specimens were used for the immunohistochemical assessment of estrogen and progesterone receptors.</p> <p>Results</p> <p>Neither estrogen nor progesterone receptors could be detected in any of our cases by means of well known immunohistochemical method using well documented monoclonal antibodies. In the control specimens, a strongly positive reaction could be seen.</p> <p>Conclusion</p> <p>No estrogen and progesterone receptor could be found in any of our 100 cases of vestibular schwannomas. Hence our study does not support a causative role of estrogen and progesterone in the growth of vestibular schwannoma as well as hormonal manipulation in the treatment of this tumor.</p
Visuo-spatial ability in colonoscopy simulator training
Visuo-spatial ability is associated with a quality of performance in a variety of surgical and medical skills. However, visuo-spatial ability is typically assessed using Visualization tests only, which led to an incomplete understanding of the involvement of visuo-spatial ability in these skills. To remedy this situation, the current study investigated the role of a broad range of visuo-spatial factors in colonoscopy simulator training. Fifteen medical trainees (no clinical experience in colonoscopy) participated in two psycho-metric test sessions to assess four visuo-spatial ability factors. Next, participants trained flexible endoscope manipulation, and navigation to the cecum on the GI Mentor II simulator, for four sessions within 1 week. Visualization, and to a lesser degree Spatial relations were the only visuo-spatial ability factors to correlate with colonoscopy simulator performance. Visualization additionally covaried with learning rate for time on task on both simulator tasks. High Visualization ability indicated faster exercise completion. Similar to other endoscopic procedures, performance in colonoscopy is positively associated with Visualization, a visuo-spatial ability factor characterized by the ability to mentally manipulate complex visuo-spatial stimuli. The complexity of the visuo-spatial mental transformations required to successfully perform colonoscopy is likely responsible for the challenging nature of this technique, and should inform training- and assessment design. Long term training studies, as well as studies investigating the nature of visuo-spatial complexity in this domain are needed to better understand the role of visuo-spatial ability in colonoscopy, and other endoscopic techniques
Dental Occlusion in a Split Amazon Indigenous Population: Genetics Prevails over Environment
Background: Studies examining human and nonhuman primates have supported the hypothesis that the recent increase in
the occurrence of misalignment of teeth and/or incorrect relation of dental arches, named dental malocclusion, is mainly
attributed to the availability of a more processed diet and the reduced need for powerful masticatory action. For the first
time on live human populations, genetic and tooth wear influences on occlusal variation were examined in a split
indigenous population. The Arara-Iriri people are descendants of a single couple expelled from a larger village. In the
resultant village, expansion occurred through the mating of close relatives, resulting in marked genetic cohesion with
substantial genetic differences.
Methodology/Principal Findings: Dental malocclusion, tooth wear and inbreeding coefficient were evaluated. The sample
examined was composed of 176 individuals from both villages. Prevalence Ratio and descriptive differences in the
outcomes frequency for each developmental stage of the dentition were considered. Statistical differences between the
villages were examined using the chi-square test or Fisher’s exact statistic. Tooth wear and the inbreeding coefficient (F)
between the villages was tested with Mann-Whitney statistics. All the statistics were performed using two-tailed distribution
at p#0.05. The coefficient inbreeding (F) confirmed the frequent incestuous unions among the Arara-Iriri indigenous group.
Despite the tooth wear similarities, we found a striking difference in occlusal patterns between the two Arara villages. In the
original village, dental malocclusion was present in about one third of the population; whilst in the resultant village, the
occurrence was almost doubled. Furthermore, the morphological characteristics of malocclusion were strongly different
between the groups.
Conclusions/Significance: Our findings downplay the widespread influence of tooth wear, a direct evidence of what an
individual ate in the past, on occlusal variation of living human populations. They also suggest that genetics plays the most
important role on dental malocclusion etiology
Normal levels of p27Xic1 are necessary for somite segmentation and determining pronephric organ size
The Xenopus laevis cyclin dependent kinase inhibitor p27Xic1 has been shown to be involved in exit from the cell cycle and differentiation of cells into a quiescent state in the nervous system, muscle tissue, heart and retina. We show that p27Xic1 is expressed in the developing kidney in the nephrostomal regions. Using over-expression and morpholino oligonucleotide (MO) knock-down approaches we show normal levels of p27Xic1 regulate pronephros organ size by regulating cell cycle exit. Knock-down of p27Xic1 expression using a MO prevented myogenesis, as previously reported; an effect that subsequently inhibits pronephrogenesis. Furthermore, we show that normal levels of p27Xic1 are required for somite segmentation also through its cell cycle control function. Finally, we provide evidence to suggest correct paraxial mesoderm segmentation is not necessary for pronephric induction in the intermediate mesoderm. These results indicate novel developmental roles for p27Xic1, and reveal its differentiation function is not universally utilised in all developing tissues
A step-wise approach to developing indicators to compare the performance of maternity units using hospital administrative data.
Hospital administrative data are attractive for comparing performance of maternity units because of their often large sample sizes, lack of selection bias and the relatively low costs of accessing these data compared with conducting primary data collection. However, using administrative data to develop indicators can also present challenges including varying data quality, the limited detail on clinical risk factors and a lack of structural and user experience measures. This review illustrates how to develop performance indicators for maternity units using hospital administrative data, including methods to address the challenges that administrative data pose. TWEETABLE ABSTRACT: How to develop maternity indicators from administrative data
Spin-2 spectrum of defect theories
We study spin-2 excitations in the background of the recently-discovered
type-IIB solutions of D'Hoker et al. These are holographically-dual to defect
conformal field theories, and they are also of interest in the context of the
Karch-Randall proposal for a string-theory embedding of localized gravity. We
first generalize an argument by Csaki et al to show that for any solution with
four-dimensional anti-de Sitter, Poincare or de Sitter invariance the spin-2
excitations obey the massless scalar wave equation in ten dimensions. For the
interface solutions at hand this reduces to a Laplace-Beltrami equation on a
Riemann surface with disk topology, and in the simplest case of the
supersymmetric Janus solution it further reduces to an ordinary differential
equation known as Heun's equation. We solve this equation numerically, and
exhibit the spectrum as a function of the dilaton-jump parameter .
In the limit of large a nearly-flat linear-dilaton dimension grows
large, and the Janus geometry becomes effectively five-dimensional. We also
discuss the difficulties of localizing four-dimensional gravity in the more
general backgrounds with NS5-brane or D5-brane charge, which will be analyzed
in detail in a companion paper.Comment: 41 pages, 6 figure
Lambda and Antilambda polarization from deep inelastic muon scattering
We report results of the first measurements of Lambda and Antilambda
polarization produced in deep inelastic polarized muon scattering on the
nucleon. The results are consistent with an expected trend towards positive
polarization with increasing x_F. The polarizations of Lambda and Antilambda
appear to have opposite signs. A large negative polarization for Lambda at low
positive x_F is observed and is not explained by existing models.A possible
interpretation is presented.Comment: 9 pages, 2 figure
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