Nodal involvement evaluation in advanced cervical cancer: a single institutional experience

Purpose: To assess the usefulness of different imaging techniques in the detection of nodal involvement in patients with advanced cervical carcinoma. Moreover, to analyze the correlation between the presurgical (FIGO) and postsurgical (pTNM) staging classifications. Materials and Methods: All patients diagnosed with advanced cervical cancer (FIGO Stages IIB-IV) from 2005 to 2012 were selected. The medical charts of 51 patients that underwent presurgical assessment with posterior surgical staging by means of paraaortic lymphadenectomy, were reviewed. Nodal status assessment by computed tomography scan (CT scan), magnetic resonance imaging (MRI), positron emission tomography (PET), and sonography was compared, as well as the size given in imaging techniques compared to the final pathologic report information. Results: Presurgical analysis by CT scan, MRI, PET, and sonography showed pelvic nodal involvement in 51.3% of patients, and para-aortic involvement in 30.8% of cases. CT scan showed positive pelvic nodes in 35% of cases, but pathologic confirmation was observed in just 17.6% of cases. However, MRI resulted in higher rates of up to 48.8% of cases. Concerning para-aortic nodal involvement, CT scan showed positive nodes in 25% of cases, MRI in 3.2% of cases, and the pathologic report in 15.6% of cases. The authors found significant differences between staging groups among both classifications (FIGO vs. pTNM; p < 0.001). Eight cases (15.7%) were understaged by FIGO classification. Conclusions: Despite all imaging techniques available, none has demonstrated to be efficient enough to avoid the systematic study of para-aortic nodal status by means of surgical evaluatio

Slow growth of magnetic domains helps fast evolution routes for out-of-equilibrium dynamics

Cooling and heating faster a system is a crucial problem in science, technology, and industry. Indeed, choosing the best thermal protocol to reach a desired temperature or energy is not a trivial task. Noticeably, we find that the phase transitions may speed up thermalization in systems where there are no conserved quantities. In particular, we show that the slow growth of magnetic domains shortens the overall time that the system takes to reach a final desired state. To prove that statement, we use intensive numerical simulations of a prototypical many-body system, namely, the two-dimensional Ising model. © 2021 Published by the American Physical Societ

Maxillary dentigerous cyst and supernumerary tooth. Is it a frequent association?

Dentigerous cysts, also known as follicular cysts, are a relatively common pathology in our field. They are associated with unerupted or semi-erupted teeth and are usually not related to supernumerary teeth. OBJECTIVE: To describe a dentigerous cyst case associated to a supernumerary tooth. CASE-REPORT: A large-sized dentigerous cyst is described, associated with a supernumerary tooth, affecting the whole maxillary anterior area. Appropriate treatment consists of performing root canals and a Partsch II procedure with a cystectomy, extracting the unerupted teeth, carrying out an apicoectomy and retro-filling the affected teeth. The defect is filled with a bone xenograft. Possible therapeutic alternatives and the connection between the dentigerous cysts and supernumerary teeth are considered in the discussion

Root microbiome modulates plant growth promotion induced by low doses of glyphosate

Glyphosate is a commonly used herbicide with a broad action spectrum. However, at sublethal doses, glyphosate can induce plant growth, a phenomenon known as hormesis. Most glyphosate hormesis studies have been performed under microbe-free or reduced-microbial-diversity conditions; only a few were performed in open systems or agricultural fields, which include a higher diversity of soil microorganisms. Here, we investigated how microbes affect the8 hormesis induced by low doses of glyphosate. To this end, we used Arabidopsis thaliana and a well-characterized synthetic bacterial community of 185 strains (SynCom) that mimics the root-associated microbiome of Arabidopsis. We found that a dose of 3.6 x 10-6 g acid equivalent/liter (low dose of glyphosate, or LDG) produced an ~14% increase in the shoot dry weight (i.e., hormesis) of uninoculated plants. Unexpectedly, in plants inoculated with the SynCom, LDG reduced shoot dry weight by 17%. We found that LDG enriched two Firmicutes and two Burkholderia strains in the roots. These specific strains are known to act as root growth inhibitors (RGI) in monoassociation assays. We tested the link between RGI and shoot dry weight reduction in LDG by assembling a new synthetic community lacking RGI strains. Dropping RGI strains out of the community restored growth induction by LDG. Finally, we showed that individual RGI strains from a few specific phyla were sufficient to switch the response to LDG from growth promotion to growth inhibition. Our results indicate that glyphosate hormesis was completely dependent on the root microbiome composition, specifically on the presence of root growth inhibitor strains

Pyogenic granuloma/Peripheral giant-cell granuloma associated with implants

Introduction: pyogenic granuloma (PG) and peripheral giant-cell granuloma (PGCG) are two of the most common inflammatory lesions associated with implants; however, there is no established pathway for treatment of these conditions. This paper aims to illustrate the successful treatment of PG and PGCG and also report a systematic review of the literature regarding the various treatments proposed. Methods: to collect relevant information about previous treatments for PG and PGCG involving implants we carried out electronic searches of publications with the key words 'granuloma', 'oral', and 'implants' from the last 15 years on the databases Pubmed, National Library of Medicine's Medline, Scielo, Scopus, and Cochrane Library. Results: from the electronic search 16 case reports were found showing excision and curettage as the main successful treatment. As no clinical trials or observational studies were identified the authors agreed to present results from a review perspective. Conclusion: this is the largest analysis of PG and PGCG associated with implants published to date. Our review would suggest that PGCG associated with implants appears to have a more aggressive nature; however the level of evidence is very limited. Further cohort studies with representative sample sizes and standard outcome measures are necessary for better understanding of these conditions

Evolución de los deltas submarinos de los ríos Guadalfeo y Adra en respuesta a las variaciones de los aportes sedimentarios

The Guadalfeo and the Adra submarine deltas off the northern coast of the Alboran Sea have been built up under the direct influence of short and mountainous rivers. The area is subjected to strong climatic seasonality, with sporadic winter torrential floods and high summer aridity. In addition numerous anthropogenic activities have affected these systems, mostly during the last two centuries. In order to decode the influence of climatic variability and anthropogenic impacts on sediment supplies during the recent past, five sediment cores were collected from the Guadalfeo and Adra submarine deltas. Benthic foraminiferal and sedimentological analyses, combined with radiocarbon dating, were performed. The impact of torrential floods alternating with periods of low rainfall or dry periods were recorded in the Adra and Guadalfeo prodeltas. Periods with low abundance of benthic foraminifera and high amounts of coarse-grained sediments, were interpreted as the result of enhanced sediment supply to the shelf triggered by major flood events. On the other hand, periods with high amounts of fine-grained sediments and high abundances of colonizers and opportunistic foraminiferal species indicate the establishment of new environments with distinct ecological constraints. These environments were driven by lower sediment supplies during low rainfall or dry periods. The most recent sedimentation seems to reflect the human interventions in the rivers basins, such as deviation of the main river courses and dams construction, which reduced the sediment input and promoted the deposition of shallow-water submarine deltas.Versión del edito

The evolution of the Guadalfeo submarine delta (northern Alboran Sea) during the last ca. 200 years

The Guadalfeo submarine delta is located on the northern Alboran Sea shelf in the western Mediterranean Sea. The sedimentary dynamics of the deltaic system is governed by the discharge of one of the major rivers in this area draining the western sector of the near-coastal Sierra Nevada Mountains. The area is under the influence of a Mediterranean climate, with high spatial and temporal (i.e., inter- and intra-annual) rain variability. Major anthropogenic forcing affected the river system during the 1930’s, with the deviation of the main river channel 2.5 km to the west, to its present position. More recently, the construction of Béznar (1977-1985) and Rules (1993-2003) dams have also contributed to limit the amount of sediments exported to the deltaic system. In order to understand the interaction between river discharges and the evolution of the submarine delta at different timescales, sediment cores were collected off the ancient (core 13) and present-day (cores12 and 15) river courses. A chronological framework was performed and combined with sedimentological and benthic foraminiferal analyses. Radiocarbon dating of plant debris from the base of the cores indicates that the sedimentary record goes back 200 years. In core 13, the variations between coarse and fine fractions along the core and the upward increase of benthic foraminiferal population density, would indicate that deposition possibly occurred until the deviation of the main river course to its present position. In the lower part of core 12, the strong alternation between coarse and fine sediment textures and the variable amounts of benthic foraminiferal species are interpreted as the result of an active fluvial regime. The upper part, with high percentages of fine sediments and high values of population density, could be attributed to the stabilization of the river course in its present-day location. Core 15, located at 11 m water depth, showed the highest content of gravel in the lower part of the core, high contents of silt at two core depths and increased percentages of sand to the top, indicating the strong influence of human interventions in the river basin and consequent changes in the sediment supply to the Guadalfeo submarine delta.info:eu-repo/semantics/publishedVersio

Multi-proxy evidence of rainfall variability recorded in subaqueous deltaic deposits off the Adra River, southeast Iberian Peninsula

The Adra River deltaic system, southeast Iberian Peninsula, shows a steep topography and is subjected to strong climatic seasonality. This system has been affected by alternating wet and dry periods, and it has also undergone numerous anthropogenic activities such as deforestation, mining activities, river channel deviations and dam construction, particularly during the last two centuries. Two sediment cores were retrieved off the Adra River, from the western (MS_V9) and eastern (MS_V4) lobes of the subaqueous deltaic deposit. A multi-proxy study was carried out, including grain size, benthic foraminiferal assemblages, magnetic susceptibility and geochemical element analyses, in order to understand the sedimentary expression of recent climatic cycles and anthropogenic interventions in the river basin. Periods of increased deposition of coarse-grained sediments, low absolute abundance of benthic foraminifera and high elemental ratios indicative of terrigenous contributions, were interpreted as periods of increased sediment supply to the shelf. Four flooding events were recorded in core MS_V9 and three events on core MS_V4, of which two were observed in both cores. They were related to periods with major floods that were documented on the southern Iberian Peninsula around 1770e1810 and 1860 e1870 AD. On the other hand, sediment core intervals exhibiting increasing proportion of fine-grained sediments and higher abundances of foraminiferal species assigned as successful colonizers (Textularia earlandi) and opportunistic species that feed on bacteria or terrestrial organic matter (Bolivina ordinaria, Bulimina elongata, Eggerelloides scaber and Ammonia beccarii or tepida), indicate the establishment of new environments with new ecological constraints. They were related to significant decreases of terrigenous sediment input during low rainfall or dry periods. The increase of opportunistic species feeding on fresh phytodetritus (Nonionella iridea, Nonionella stella, Nonionella sp., Brizalina dilatata, Epistominella vitrea and Bolivinellina pseudopuntata), under more stable environmental conditions, also point to a stronger marine influence on the prodeltaic environments during these periods. The human interventions on the river basin after 1872 AD, with the deviation of the main river channel to the east, led to a drastic reduction of the sediment exported to the western delta lobe. This study showed that the sedimentation on the Adra subaqueous deltaic deposit was mainly controlled by rainfall variability from 1663 to 1872 AD, and afterwards by anthropogenic interventions.En prensa2,247

A single bacterial genus maintains root growth in a complex microbiome

Plants grow within a complex web of species that interact with each other and with the plant1–10. These interactions are governed by a wide repertoire of chemical signals, and the resulting chemical landscape of the rhizosphere can strongly affect root health and development7–9,11–18. Here, to understand how interactions between microorganisms influence root growth in Arabidopsis, we established a model system for interactions between plants, microorganisms and the environment. We inoculated seedlings with a 185-member bacterial synthetic community, manipulated the abiotic environment and measured bacterial colonization of the plant. This enabled us to classify the synthetic community into four modules of co-occurring strains. We deconstructed the synthetic community on the basis of these modules, and identified interactions between microorganisms that determine root phenotype. These interactions primarily involve a single bacterial genus (Variovorax), which completely reverses the severe inhibition of root growth that is induced by a wide diversity of bacterial strains as well as by the entire 185-member community. We demonstrate that Variovorax manipulates plant hormone levels to balance the effects of our ecologically realistic synthetic root community on root growth. We identify an auxin-degradation operon that is conserved in all available genomes of Variovorax and is necessary and sufficient for the reversion of root growth inhibition. Therefore, metabolic signal interference shapes bacteria–plant communication networks and is essential for maintaining the stereotypic developmental programme of the root. Optimizing the feedbacks that shape chemical interaction networks in the rhizosphere provides a promising ecological strategy for developing more resilient and productive crops