4,434 research outputs found
Umbilical Arterial Blood Gas and Perinatal Outcome in the Second Twin according to the Planned Mode of Delivery
Purpose: To compare umbilical arterial gas parameters in the second twin of twin pregnancies according to the mode of deliver
A case of isolated metastatic hepatocellular carcinoma arising from the pelvic bone
Reports of metastatic hepatocellular carcinoma (HCC) without a primary liver tumor are rare. Here we present a case of isolated HCC that had metastasized to the pelvic bone without a primary focus. A 73-year-old man presented with severe back and right-leg pain. Radiological examinations, including computed tomography (CT) and magnetic resonance imaging (MRI), revealed a huge mass on the pelvic bone (13×10 cm). He underwent an incisional biopsy, and the results of the subsequent histological examination were consistent with metastatic hepatocellular carcinoma. The tumor cells were positive for cytokeratin (AE1/AE3), hepatocyte paraffin 1, and glypican-3, and negative for CD56, chromogranin A, and synaptophysin on immunohistochemical staining. Examination of the liver by CT, MRI, positron-emission tomography scan, and angiography produced no evidence of a primary tumor. Radiotherapy and transarterial chemoembolization were performed on the pelvic bone, followed by systemic chemotherapy. These combination treatments resulted in tumor regression with necrotic changes. However, multiple lung metastases developed 1 year after the treatment, and the patient was treated with additional systemic chemotherapy
Tunable Emergent Heterostructures in a Prototypical Correlated Metal
At the interface between two distinct materials desirable properties, such as
superconductivity, can be greatly enhanced, or entirely new functionalities may
emerge. Similar to in artificially engineered heterostructures, clean
functional interfaces alternatively exist in electronically textured bulk
materials. Electronic textures emerge spontaneously due to competing
atomic-scale interactions, the control of which, would enable a top-down
approach for designing tunable intrinsic heterostructures. This is particularly
attractive for correlated electron materials, where spontaneous
heterostructures strongly affect the interplay between charge and spin degrees
of freedom. Here we report high-resolution neutron spectroscopy on the
prototypical strongly-correlated metal CeRhIn5, revealing competition between
magnetic frustration and easy-axis anisotropy -- a well-established mechanism
for generating spontaneous superstructures. Because the observed easy-axis
anisotropy is field-induced and anomalously large, it can be controlled
efficiently with small magnetic fields. The resulting field-controlled magnetic
superstructure is closely tied to the formation of superconducting and
electronic nematic textures in CeRhIn5, suggesting that in-situ tunable
heterostructures can be realized in correlated electron materials
A new knotless parametrial tissue ligation technique for safe total laparoscopic hysterectomy
Objective Parametrial tissue ligation during total laparoscopic hysterectomy (TLH) is important in large uteri with large vessels. Methods A retrospective study was performed at Asan Medical Center for comparing TLH performed with a new knotless parametrial tissue ligation method and conventional laparoscopic-assisted vaginal hysterectomy (LAVH) from March 2019 to August 2021. For TLH, after anterior colpotomy, the parametrial tissue was ligated by anchoring the suture and making a loop in one direction three times using 1-0 V-LocTM 180 (Covidien, Mansfield, MA, USA) suture. Subsequently, the cranial part of the loop was cut using an endoscopic device. Results A total of 119 and 178 patients were included in the TLH and LAVH groups, respectively. The maximal diameter of the uterus was larger in the TLH group (106.29±27.16 cm) than in the LAVH group (99.00±18.92 cm, P=0.01). The change in hemoglobin (Hb) level was greater in the LAVH group than in the TLH group (P1,000 g, the operative times and change in Hb levels were similar between the two groups. In both groups, no ureteral complications occurred during or after surgery. Conclusion Knotless parametrial tissue ligation using 1-0 V-LocTM 180 suture in TLH can be safely applied, even in cases with large uteri, without increased risks of ureteral injury or uterine bleeding
Half-Metallic Graphene Nanoribbons
Electrical current can be completely spin polarized in a class of materials
known as half-metals, as a result of the coexistence of metallic nature for
electrons with one spin orientation and insulating for electrons with the
other. Such asymmetric electronic states for the different spins have been
predicted for some ferromagnetic metals - for example, the Heusler compounds-
and were first observed in a manganese perovskite. In view of the potential for
use of this property in realizing spin-based electronics, substantial efforts
have been made to search for half-metallic materials. However, organic
materials have hardly been investigated in this context even though
carbon-based nanostructures hold significant promise for future electronic
device. Here we predict half-metallicity in nanometre-scale graphene ribbons by
using first-principles calculations. We show that this phenomenon is realizable
if in-plane homogeneous electric fields are applied across the zigzag-shaped
edges of the graphene nanoribbons, and that their magnetic property can be
controlled by the external electric fields. The results are not only of
scientific interests in the interplay between electric fields and electronic
spin degree of freedom in solids but may also open a new path to explore
spintronics at nanometre scale, based on graphene
Giant Cell Tumor of the Mandible
A 53-year-old woman presented with left mandibular area pain, trismus, and facial numbness that had persisted for 4 years. Physical examination revealed a 3×5 cm, hard, non-tender, and round mass on the left mandibular area. Computed tomography and magnetic resonance imaging revealed an expansile tumor involving the left mandibular ramus and temporomandibular joint area with bone destruction, extending to the base of middle cranial fossa and left zygomatic bone. The mass at the segment of left mandible and zygomatic bone, and base of middle cranial fossa was removed. Pathological examination of the mass revealed a giant cell tumor. The defect was reconstructed with iliac bone for the mandible and temporal bone and fascia for the cranial bone and dura. The case is described along with a review of the literature
Gamma (γ) tocopherol upregulates peroxisome proliferator activated receptor (PPAR) gamma (γ) expression in SW 480 human colon cancer cell lines
BACKGROUND: Tocopherols are lipid soluble antioxidants that exist as eight structurally different isoforms. The intake of γ-tocopherol is higher than α-tocopherol in the average US diet. The clinical results of the effects of vitamin E as a cancer preventive agent have been inconsistent. All published clinical trials with vitamin E have used α-tocopherol. Recent epidemiological, experimental and molecular studies suggest that γ-tocopherol may be a more potent chemopreventive form of vitamin E compared to the more-studied α-tocopherol. γ-Tocopherol exhibits differences in its ability to detoxify nitrogen dioxide, growth inhibitory effects on selected cancer cell lines, inhibition of neoplastic transformation in embryonic fibroblasts, and inhibition of cyclooxygenase-2 (COX-2) activity in macrophages and epithelial cells. Peroxisome proliferator activator receptor γ (PPARγ) is a promising molecular target for colon cancer prevention. Upregulation of PPARγ activity is anticarcinogenic through its effects on downstream genes that affect cellular proliferation and apoptosis. The thiazolidine class of drugs are powerful PPARγ ligands. Vitamin E has structural similarity to the thiazolidine, troglitazone. In this investigation, we tested the effects of both α and γ tocopherol on the expression of PPARγ mRNA and protein in SW 480 colon cancer cell lines. We also measured the intracellular concentrations of vitamin E in SW 480 colon cancer cell lines. RESULTS: We have discovered that the α and γ isoforms of vitamin E upregulate PPARγ mRNA and protein expression in the SW480 colon cancer cell lines. γ-Tocopherol is a better modulator of PPARγ expression than α-tocopherol at the concentrations tested. Intracellular concentrations increased as the vitamin E concentration added to the media was increased. Further, γ-tocopherol-treated cells have higher intracellular tocopherol concentrations than those treated with the same concentrations of α-tocopherol. CONCLUSION: Our data suggest that both α and γ tocopherol can upregulate the expression of PPARγ which is considered an important molecular target for colon cancer chemoprevention. We show that the expression of PPARγ mRNA and protein are increased and these effects are more pronounced with γ-tocopherol. γ-Tocopherol's ability to upregulate PPARγ expression and achieve higher intracellular concentrations in the colonic tissue may be relevant to colon cancer prevention. We also show that the intracellular concentrations of γ-tocopherol are several fold higher than α-tocopherol. Further work on other colon cancer cell lines are required to quantitate differences in the ability of these forms of vitamin E to induce apoptosis, suppress cell proliferation and act as PPAR ligands as well as determine their effects in conjunction with other chemopreventive agents. Upregulation of PPARγ by the tocopherols and in particular by γ-tocopherol may have relevance not only to cancer prevention but also to the management of inflammatory and cardiovascular disorders
Cytotoxic polyfunctionality maturation of cytomegalovirus-pp65-specific CD4 + and CD8 + T-cell responses in older adults positively correlates with response size
Cytomegalovirus (CMV) infection is one of the most common persistent viral infections in humans worldwide and is epidemiologically associated with many adverse health consequences during aging. Previous studies yielded conflicting results regarding whether large, CMV-specific T-cell expansions maintain their function during human aging. In the current study, we examined the in vitro CMV-pp65-reactive T-cell response by comprehensively studying five effector functions (i.e., interleukin-2, tumor necrosis factor-α, interferon-γ, perforin, and CD107a expression) in 76 seropositive individuals aged 70 years or older. Two data-driven, polyfunctionality panels (IL-2-associated and cytotoxicity-associated) derived from effector function co-expression patterns were used to analyze the results. We found that, CMV-pp65-reactive CD8 + and CD4 + T cells contained similar polyfunctional subsets, and the level of polyfunctionality was related to the size of antigen-specific response. In both CD8 + and CD4 + cells, polyfunctional cells with high cytotoxic potential accounted for a larger proportion of the total response as the total response size increased. Notably, a higher serum CMV-IgG level was positively associated with a larger T-cell response size and a higher level of cytotoxic polyfunctionality. These findings indicate that CMV-pp65-specific CD4 + and CD8 + T cell undergo simultaneous cytotoxic polyfunctionality maturation during aging
Sign-reversal of the in-plane resistivity anisotropy in hole-doped iron pnictides
The in-plane anisotropy of the electrical resistivity across the coupled
orthorhombic and magnetic transitions of the iron pnictides has been
extensively studied in the parent and electron-doped compounds. All these
studies universally show that the resistivity across the long
orthorhombic axis - along which the spins couple antiferromagnetically
below the magnetic transition temperature - is smaller than the resistivity
of the short orthorhombic axis , i. e. .
Here we report that in the hole-doped compounds
BaKFeAs, as the doping level increases, the
resistivity anisotropy initially becomes vanishingly small, and eventually
changes sign for sufficiently large doping, i. e. . This
observation is in agreement with a recent theoretical prediction that considers
the anisotropic scattering of electrons by spin-fluctuations in the
orthorhombic/nematic state.Comment: This paper has been replaced by the new version offering new
explanation of the experimental results first reported her
Non-conformal Hydrodynamics in Einstein-dilaton Theory
In the Einestein-dilaton theory with a Liouville potential parameterized by
, we find a Schwarzschild-type black hole solution. This black hole
solution, whose asymptotic geometry is described by the warped metric, is
thermodynamically stable only for . Applying the gauge/gravity
duality, we find that the dual gauge theory represents a non-conformal thermal
system with the equation of state depending on . After turning on the
bulk vector fluctuations with and without a dilaton coupling, we calculate the
charge diffusion constant, which indicates that the life time of the quasi
normal mode decreases with . Interestingly, the vector fluctuation with
the dilaton coupling shows that the DC conductivity increases with temperature,
a feature commonly found in electrolytes.Comment: 27 pages and 2 figures, published in JHE
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