Bronchoscopic radioisotope injection for sentinel lymph-node mapping in potentially resectable non-small-cell lung cancer

Objective: Prospective study to evaluate the feasibility of a preoperative bronchoscopic radioisotope application, followed by conventional sentinel lymph-node (SLN) identification and to investigate the occurrence and distribution of micrometastases in relation to SLN activity. Methods: Twenty patients with a mean age of 63 years and proven clinical stage T1-3 N0-1 non-small-cell lung cancer (NSCLC) were included. A dosage of 80 MBq radiolabeled technetium-99m nanocolloid was endoscopically administrated on intubated patients in the operation theatre. At thoracotomy, scintigraphic readings of both the primary tumor and hilar and mediastinal lymph-node stations were obtained with a hand-held gamma-counter. Patients underwent lung resection and mediastinal lymphadenectomy. Radiolabeled nodes were also examined separately on back-table. SLNs were defined as the hottest nodes or nodes with at least one-tenth of the radioactivity of the hottest nodes. SLNs pathologic assessment included standard examination using hematoxylin and eosin staining on step sections and immunohistochemistry (ICH) for cytokeratins. Results: Identification of SLNs was possible in 19/20 (95%) patients after bronchoscopic radioisotope application. In 7/19 (37%) patients, a unique SLN was identified, whereas in 12/19 (63%) patients, nodes from two different stations could be classified as SLNs. Metastatic nodal disease was found in 9/19 (47%) patients. ICH revealed micrometastases in 2/12 (17%) patients, initially classified nodal negative. Pathologic negative SLNs were a predictor for absence of metastatic nodal disease after mediastinal lymphadenectomy. No complication related to the procedure was observed. Conclusion: Our preliminary results suggest that preoperative bronchoscopic radioisotope injection for SLN identification is a safe and simple method, improving accuracy of SLN detection in comparison to intraoperative technique. The absence of metastases in the SLNs seems to predict a negative nodal status accuratel

Optimal estimation of time-dependent gravitational fields with quantum optomechanical systems

We study the fundamental sensitivity that can be achieved with an ideal optomechanical system in the nonlinear regime for measurements of time-dependent gravitational fields. Using recently developed methods to solve the dynamics of a nonlinear optomechanical system with a time-dependent Hamiltonian, we compute the quantum Fisher information for linear displacements of the mechanical element due to gravity. We demonstrate that the sensitivity can not only be further enhanced by injecting squeezed states of the cavity field, but also by modulating the light--matter coupling of the optomechanical system. We specifically apply our results to the measurement of gravitational fields from small oscillating masses, where we show that, in principle, the gravitational field of an oscillating nano-gram mass can be detected based on experimental parameters that will likely be accessible in the near-term future. Finally, we identify the experimental parameter regime necessary for gravitational wave detection with a quantum optomechanical sensor

Saccharomyces cerevisiae, a model to study sterol uptake and transport in eukaryotes, Biochem

Abstract The molecular mechanisms that govern intracellular transport of sterols in eukaryotic cells are only poorly understood. Saccharomyces cerevisiae is a facultative anaerobic organism that requires supplementation with unsaturated fatty acids and sterols to grow in the absence of oxygen, as the synthesis of these lipids requires molecular oxygen. The fact that yeast grows well under anaerobic conditions indicates that lipid uptake is rapid and efficient. To identify components in this lipid uptake and transport pathway, we screened the yeast mutant collection for genes that are essential under anaerobic conditions. Out of the approx. 4800 non-essential genes represented in the mutant collection, 37 were required for growth under anaerobic conditions. Uptake assays using radiolabelled cholesterol revealed that 16 of these genes are required for cholesterol uptake/transport and esterification. Further characterization of the precise role of these genes is likely to advance our understanding of this elusive pathway in yeast and may prove to be relevant to understand sterol homoeostasis in higher eukaryotic cells

EFBAT: exact family-based association tests

Background: Family-based association tests are important tools for investigating genetic risk factors of complex diseases. These tests are especially valuable for being robust to population structure. We introduce a tool, EFBAT, which performs exact family-based tests of association for X-chromosome and autosomal biallelic markers. Results: The program EFBAT extends a network algorithm previously applied to autosomal markers to include the X-chromosome and to perform tests of association under the null hypotheses "no association, no linkage" and "no association in the presence of linkage" under additive, dominant and recessive genetic models. These tests are valid regardless of patterns of missing familial data. Conclusion: The general framework for performing exact family-based association tests has been usefully extended to the X-chromosome, particularly for the hypothesis of "no association in the presence of linkage" and for different genetic models

The Upper Atmosphere of HD17156b

HD17156b is a newly-found transiting extrasolar giant planet (EGP) that orbits its G-type host star in a highly eccentric orbit (e~0.67) with an orbital semi-major axis of 0.16 AU. Its period, 21.2 Earth days, is the longest among the known transiting planets. The atmosphere of the planet undergoes a 27-fold variation in stellar irradiation during each orbit, making it an interesting subject for atmospheric modelling. We have used a three-dimensional model of the upper atmosphere and ionosphere for extrasolar gas giants in order to simulate the progress of HD17156b along its eccentric orbit. Here we present the results of these simulations and discuss the stability, circulation, and composition in its upper atmosphere. Contrary to the well-known transiting planet HD209458b, we find that the atmosphere of HD17156b is unlikely to escape hydrodynamically at any point along the orbit, even if the upper atmosphere is almost entirely composed of atomic hydrogen and H+, and infrared cooling by H3+ ions is negligible. The nature of the upper atmosphere is sensitive to to the composition of the thermosphere, and in particular to the mixing ratio of H2, as the availability of H2 regulates radiative cooling. In light of different simulations we make specific predictions about the thermosphere-ionosphere system of HD17156b that can potentially be verified by observations.Comment: 31 pages, 42 eps figure

Smoking prevention intervention with school classes in university hospital by thoracic surgeon und pulmonologist. The Zurich prevention project

Smoking prevention in schoolchildren to inform and prevent smoking initiation has been widely studied; however, the potential effect of interventions provided in a hospital setting is unknown. An intervention program named "Schoolchildren smoking prevention in the hospital" was developed in which the health aspects of smoking and its individual consequences were presented in an interactive informational event provided by a thoracic surgeon and a pulmonologist. We aimed to assess the feasibility and the short-term effect of smoking-related knowledge improvement in schoolchildren in a hospital setting. Scholars of 45 classes in Canton of Zurich in Switzerland filled in an anonymous 5-item questionnaire with questions on general knowledge about smoking. The answers were evaluated in this prospective observational cohort study. The primary endpoint was to compare the knowledge improvement by interpretation of answers before-and-after the smoking prevention intervention. Additionally, the performance of children was compared after setting up an overall score and specific subgroups according to gender and school-level. Between Jan 2010, and Oct 2019, schoolchildren aged 10 to 16 years participated in this intervention program and completed the questionnaire before (N = 1270) and after (N = 1264) the intervention. The amount of correctly answered questions increased from 40% (±20) before to 81% (±17), p < 0·0001 after the educational session. An intervention program on health effects of smoking provided by lung specialists in the hospital is feasible, well received, leads to a substantial increase of knowledge, and hopefully can be further explored in the development of smoking prevention programs for schoolchildren. Keywords: Adolescent; BASEC, Business Administration System for Ethics Committees; CI, Confidence interval; IQR, Interquartile range; OR, Odds radio; RCT, Randomized control trial; SD, Standard deviation; Schoolchildren; Smoking adverse effects; Smoking cessation interventions; Tobacco smoking prevention; i.e, Id est

Inter-observer agreement in athletes ECG interpretation using the recent international recommendations for ECG interpretation in athletes among observers with different levels of expertise

Abstract INTRODUCTION: International criteria for the interpretation of the athlete's electrocardiogram (ECG) have been proposed. We aimed to evaluate the inter-observer agreement among observers with different levels of expertise. METHODS: Consecutive ECGs of Swiss elite athletes (?14 years), recorded during routine pre-participation screening between 2013 and 2016 at the Swiss Federal Institute of Sports were analysed. A medical student (A), a cardiology fellow (B) and an electrophysiologist (C) interpreted the ECG's independently according to the most recent criteria. The frequencies and percentages for each observer were calculated. An inter-observer reliability analysis using Cohen Kappa (?) statistics was used to determine consistency among observers. RESULTS: A total of 287 ECGs (64.1% males) were analysed. Mean age of the athletes was 20.4±4.9 years. The prevalence of abnormal ECG findings was 1.4%. Both, normal and borderline findings in athletes showed moderate to good agreement between all observers. ? scores for abnormal findings resulted in excellent agreement (? 0.855 in observer A vs C and B vs C to ? 1.000 in observer A vs B). Overall agreement ranged from moderate (? 0.539; 0.419-0.685 95% CI) between observer B vs C to good agreement (? 0.720; 0.681-0.821 95% CI) between observer A vs B. CONCLUSIONS: Our cohort of elite athletes had a low prevalence of abnormal ECGs. Agreement in abnormal ECG findings with the use of the recently published International recommendations for ECG interpretation in athletes among observers with different levels of expertise was excellent. ECG interpretation resulted in moderate to good overall agreement

New observations of the extended hydrogen exosphere of the extrasolar planet HD209458b

Atomic hydrogen escaping from the planet HD209458b provides the largest observational signature ever detected for an extrasolar planet atmosphere. However, the Space Telescope Imaging Spectrograph (STIS) used in previous observational studies is no longer available, whereas additional observations are still needed to better constrain the mechanisms subtending the evaporation process, and determine the evaporation state of other `hot Jupiters'. Here, we aim to detect the extended hydrogen exosphere of HD209458b with the Advanced Camera for Surveys (ACS) on board the Hubble Space Telescope (HST) and to find evidence for a hydrogen comet-like tail trailing the planet, which size would depend on the escape rate and the amount of ionizing radiation emitted by the star. These observations also provide a benchmark for other transiting planets, in the frame of a comparative study of the evaporation state of close-in giant planets. Eight HST orbits are used to observe two transits of HD209458b. Transit light curves are obtained by performing photometry of the unresolved stellar Lyman-alpha emission line during both transits. Absorption signatures of exospheric hydrogen during the transit are compared to light curve models predicting a hydrogen tail. Transit depths of (9.6 +/- 7.0)% and (5.3 +/- 10.0)% are measured on the whole Lyman-alpha line in visits 1 and 2, respectively. Averaging data from both visits, we find an absorption depth of (8.0 +/- 5.7)%, in good agreement with previous studies. The extended size of the exosphere confirms that the planet is likely loosing hydrogen to space. Yet, the photometric precision achieved does not allow us to better constrain the hydrogen mass loss rate.Comment: Accepted for publication in Astronomy & Astrophysics. 5 pages, 3 figure

P2X7 receptor‐mediated Nlrp3‐inflammasome activation is a genetic determinant of macrophage‐dependent crescentic glomerulonephritis

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/141169/1/jlb0127-sup-0001.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/141169/2/jlb0127.pd