Pancreatico-jejunostomy decreases post-operative pancreatic fistula incidence and severity after central pancreatectomy

BACKGROUNDS: Central pancreatectomy (CP) is an alternative to pancreaticoduodenectomy and distal pancreatectomy in benign tumours of pancreatic isthmus management. It is known for a high post-operative pancreatic fistula (POPF) rate. The purpose of this study was to compare POPF incidence between pancreatico-jejunostomy (PJ) and pancreatico-gastrostomy (PG). METHODS: Fifty-eight patients (mean age 53.9 ± 1.9 years) who underwent a CP in four French University Hospitals from 1988 to 2011 were analysed. The distal pancreatic remnant was either anastomosed to the stomach (44.8%, n = 25) or to a Roux-en-Y jejunal loop (55.2%, n = 35) with routine external drainage allowing a systematic search for POPF. POPF severity was classified according to the International Study Group on Pancreatic Fistula (ISGPF) and Clavien-Dindo classifications. RESULTS: The groups were similar on sex ratio, mean age, ASA score, pancreas texture, operative time and operative blood loss. Mean follow-up was 36.2 ± 3.9 months. POPF were significantly more frequent after PG (76.9 versus 37.5%, P = 0.003). PG was associated with significantly higher grade of POPF both when graded with ISGPF classification (P = 0.012) and Clavien-Dindo classification (P = 0.044). There was no significant difference in post-operative bleeding (0.918) and delayed gastric emptying (0.877) between the two groups. Hospital length of stay was increased after PG (23.6 ± 3.5 days versus 16.5 ± 1.9 days, P = 0.071). There was no significant difference in incidence of long-term exocrine (3.8 versus 19.2%, P = 0.134) and endocrine (7.7 versus 9.4%, P = 0.575) pancreatic insufficiencies. CONCLUSION: PG was associated with a significantly higher POPF incidence and severity in CP. We recommend performing PJ especially in older patients to improve CP outcomes

Anomalous dependence of the c-axis polarized Fe B1g_{1g} phonon mode with Fe and Se concentrations in Fe1+y_{1+y}Te1−x_{1-x}Sex_x

We report an investigation of the lattice dynamical properties in a range of Fe$_{1+y}$Te$_{1-x}$Se$_{x}$ compounds, with special emphasis on the c-axis polarized vibration of Fe with B$_{1g}$ symmetry, a Raman active mode common to all families of Fe-based superconductors. We have carried out a systematic study of the temperature dependence of this phonon mode as a function of Se $x$ and excess Fe $y$ concentrations. In parent compound Fe$_{1+y}$Te, we observe an unconventional broadening of the phonon between room temperature and magnetic ordering temperature $T_N$. The situation smoothly evolves towards a regular anharmonic behavior as Te is substituted for Se and long range magnetic order is replaced by superconductivity. Irrespective to Se contents, excess Fe is shown to provide an additional damping channel for the B$_{1g}$ phonon at low temperatures. We performed Density Functional Theory (DFT) ab-initio calculations within the local density approximation (LDA) to calcuate the phonon frequencies including magnetic polarization and Fe non-stoichiometry in the Virtual Crystal Approximation (VCA). We obtained a good agreement with the measured phonon frequencies in the Fe-deficient samples, while the effects of Fe excess are poorly reproduced. This may be due to excess Fe-induced local magnetism and low energy magnetic fluctuations that can not be treated accurately within these approaches. As recently revealed by neutron scattering and $\mu$-SR studies, these phenomena occur in the temperature range where anomalous decay of the B$_{1g}$ phonon is observed, and suggests a peculiar coupling of this mode with local moments and spin fluctuations in Fe$_{1+y}$Te$_{1-x}$Se$_{x}$

Heat Transport and the Nature of the Order Parameter in Superconducting UPt3UPt_3

Recent thermal conductivity data on the heavy fermion superconductor $UPt_3$ have been interpreted as offering support for an $E_{2u}$ model of the order parameter as opposed to an $E_{1g}$ model. In this paper, we analyze this issue from a theoretical standpoint including the detailed effects of Fermi surface and gap anisotropy. Our conclusion is that although current data put strong constraints on the gap anisotropy, they cannot definitively distinguish between these two models. Measurements on samples of varying quality could be decisive in this regard, however.Comment: 8 pages, revtex, 15 uunencoded postscript figure

High temperature superconductivity (Tc onset at 34K) in the high pressure orthorhombic phase of FeSe

We have studied the structural and superconducting properties of tetragonal FeSe under pressures up to 26GPa using synchrotron radiation and diamond anvil cells. The bulk modulus of the tetragonal phase is 28.5(3)GPa, much smaller than the rest of Fe based superconductors. At 12GPa we observe a phase transition from the tetragonal to an orthorhombic symmetry. The high pressure orthorhombic phase has a higher Tc reaching 34K at 22GPa.Comment: 15 pages, 4 figure

Anomalous magnetic field dependence of the thermodynamic transition line in the isotropic superconductor (K,Ba)Bi03

Thermodynamic (specific heat, reversible magnetization, tunneling spectroscopy) and transport measurements have been performed on high quality (K,Ba)BiO$_3$ single crystals. The temperature dependence of the magnetic field $H_{Cp}$ corresponding to the onset of the specific heat anomaly presents a clear positive curvature. $H_{Cp}$ is significantly smaller than the field $H_\Delta$ for which the superconducting gap vanishes but is closely related to the irreversibility line deduced from transport data. Moreover, the temperature dependence of the reversible magnetization present a strong deviation from the Ginzburg--Landau theory emphasazing the peculiar nature of the superconducting transition in this material.Comment: 4 pages, 4 figures, 28 reference

Platelet factor-4 and its p17-70 peptide inhibit myeloma proliferation and angiogenesis in vivo

<p>Abstract</p> <p>Background</p> <p>Angiogenesis plays an important role in the development of multiple myeloma (MM). The interaction between MM cells and the bone marrow microenvironment stimulates the proliferation and migration of endothelial progenitor cells (EPCs). Vascular endothelial growth factor (VEGF) contributes to the formation of new blood vessels by actively recruiting circulating EPCs. The production of proangiogenic and antiangiogenic factors is also dysregulated in MM. Platelet factor 4 (PF4) is a potent angiostatic cytokine that inhibits angiogenesis and tumor growth in several animal models.</p> <p>Methods</p> <p>In this study, we stably transfected human myeloma cell lines with the PF4 gene or the sequence encoding its more potent p17-70 peptide and investigated the effects of PF4 and p17-70 on angiogenesis and tumor growth <it>in vitro </it>and in a SCID-rab myeloma model.</p> <p>Results</p> <p>PF4 and p17-70 significantly attenuated VEGF production, both <it>in vitro </it>and <it>in vivo</it>. In a migration study using a Transwell system, PF4 or p17-70 markedly suppressed the migration of co-cultured human endothelial progenitor cells. PF4 or p17-70 also caused a significant reduction in microvessel densities in myeloma xenografts and markedly reduced the tumor volume in the SCID mice. Kaplan-Meier analysis demonstrated that PF4 and p17-70 significantly extended the overall survival of SCID mice bearing human myeloma xenografts.</p> <p>Conclusions</p> <p>Our findings indicate that PF4 or p17-70 could be valuable in combating multiple myeloma by disrupting tumor angiogenesis.</p

Validation of the Meaf Score and Comparaison with Early Allograft Dysfunction Critera on Predicting 3 Months Graft Survival

International audienceno abstrac

On the thermoelectricity of correlated electrons in the zero-temperature limit

The Seebeck coefficient of a metal is expected to display a linear temperature-dependence in the zero-temperature limit. To attain this regime, it is often necessary to cool the system well below 1K. We put under scrutiny the magnitude of this term in different families of strongly-interacting electronic systems. For a wide range of compounds (including heavy-fermion, organic and various oxide families) a remarkable correlation between this term and the electronic specific heat is found. We argue that a dimensionless ratio relating these two signatures of mass renormalisation contains interesting information about the ground state of each system. The absolute value of this ratio remains close to unity in a wide range of strongly-correlated electron systems.Comment: 15 pages, including two figure

Bulk charge density wave and electron-phonon coupling in superconducting copper oxychlorides

Bulk charge density waves (CDWs) are now reported in nearly all high-temperature superconducting (HTS) cuprates, with the noticeable exception of one particular family: the copper oxychlorides. Here, we used resonant inelastic X-ray scattering (RIXS) to reveal a bulk CDW in these materials. Combining RIXS with non-resonant IXS, we investigate the interplay between the lattice excitations and the CDW, and evidence bond-stretching (BS) phonon anomalies at the CDW wave-vector. We propose that such electron-phonon anomalies occur in the presence of dispersive charge excitations emanating from the CDW and interacting with the BS phonon. Our observations in a structurally simple cuprate promises to better connect bulk and surface properties and bridge the gap between theory and experiment

VEGF binding to NRP1 is essential for VEGF stimulation of endothelial cell migration, complex formation between NRP1 and VEGFR2, and signaling via FAK Tyr407 phosphorylation

In endothelial cells, neuropilin-1 (NRP1) binds vascular endothelial growth factor (VEGF)-A and is thought to act as a coreceptor for kinase insert domain-containing receptor (KDR) by associating with KDR and enhancing VEGF signaling. Here we report mutations in the NRP1 b1 domain (Y297A and D320A), which result in complete loss of VEGF binding. Overexpression of Y297A and D320A NRP1 in human umbilical vein endothelial cells reduced high-affinity VEGF binding and migration toward a VEGF gradient, and markedly inhibited VEGF-induced angiogenesis in a coculture cell model. The Y297A NRP1 mutant also disrupted complexation between NRP1 and KDR and decreased VEGF-dependent phosphorylation of focal adhesion kinase at Tyr407, but had little effect on other signaling pathways. Y297A NRP1, however, heterodimerized with wild-type NRP1 and NRP2 indicating that nonbinding NRP1 mutants can act in a dominant-negative manner through formation of NRP1 dimers with reduced binding affinity for VEGF. These findings indicate that VEGF binding to NRP1 has specific effects on endothelial cell signaling and is important for endothelial cell migration and angiogenesis mediated via complex formation between NRP1 and KDR and increased signaling to focal adhesions. Identification of key residues essential for VEGF binding and biological functions provides the basis for a rational design of antagonists of VEGF binding to NRP1