Presacral Teratocarcinoma Presenting as Anal Fistula and Rectal Adenocarcinoma: A Unique Case Presentation and Literature Review

Somatic malignancy arising from presacral or retroperitoneal primary teratoma is extremely rare. We report the case of a 37-year-old male patient with adenocarcinoma of respiratory type arising from primary presacral teratoma, but which first presented as anal fistula and rectal adenocarcinoma. The two tumors show the same morphology and immunophenotype (CK7–CK20+CDx2+). Malignant adenocarcinoma transformations from the normal respiratory epithelium are also found. To the best of our knowledge, this is the second case of respiratory type adenocarcinoma arising from primary presacral mature cystic teratoma

Defect-engineered metal-organic frameworks (MOF-808) towards the improved adsorptive removal of organic dyes and chromium (vi) species from water

In this work, two defective zirconium-based metal-organic frameworks (Zr-MOFs), MOF-808-OH and MOF-808-NH2, were synthesized by partially replacing the 1,3,5-benzenetricarboxylate building block with 5-hydroxyisophthalate and 5-aminoisophthalate, respectively. The structural features of the defective materials were analyzed by powder X-ray diffraction (PXRD), scanning electron microscopy (SEM), nitrogen physisorption at 77 K, and thermogravimetric analysis (TGA). Importantly, the number of defect sites determined via proton nuclear magnetic resonance (1H-NMR) analysis of the digested materials was approximately 7 mol% for MOF-808-OH and 3 mol% for MOF-808-NH2. The presence of the defect sites increased the number of acidic centers on Zr-clusters originating from missing-linker nodes which accounted for a remarkable adsorption capacity towards various anionic organic dyes and chromium (vi) species. Compared to standard MOF-808, the defect-engineered ones showed significant increments by 30-60% in trapping capacity for anionic contaminants including sunset yellow, quinoline yellow, methyl orange, and potassium dichromate, while they exhibited modest improvements by 5-15% in the removal of cationic dyes, namely malachite green and methylene blue

The predominance of seafood allergy in Vietnamese adults: results from the first population-based questionnaire survey

Background: Food allergy (FA) is a serious, costly and growing health problem worldwide. FA occurs in both children and adults; however, there is a paucity of information on FA prevalence and its clinical features in the adult population, especially in Asia. We sought to assess the prevalence of FAs in Vietnamese adults and the distribution of offending food items among different regions throughout Vietnam. Methods: A nationwide, cross-sectional, population-based survey was conducted among University students aged 16-50 years. We used a structured, anonymous questionnaire, which was modified from recently published FA epidemiologic studies and based on European Academy of Allergy and Clinical Immunology (EAACI) guidelines, to collect data on FA prevalence, clinical presentations, and implicated food groups. Statistical analysis was performed to generate the prevalence of self-reported and doctor-diagnosed FA and to examine the association of key environmental factors and FA incidence in this population. Results: Of the 14,500 surveys distributed, a total of 9,039 responses were returned, resulting in a response rate of 62.4%. Among participants who reported food-induced adverse reactions, 48.0% have repeated reactions. 18.0% of the participants perceived FA symptoms, but less than half of them sought medical services for confirmation (37.9%). Stratifying for true FA symptoms, the prevalence of self-reported FA was 11.8% and of doctor-diagnosed FA, 4.6%. The most common doctordiagnosed FA was to crustacean (3.0%; 95% CI, 2.6-3.3), followed by fish (1.6%; 95% CI, 1.3-1.8), mollusk (1.3%; 95% CI, 1.0-1.5) and beef (1.0%; 95% CI, 0.8-1.2). The prevalence of doctordiagnosed FA differed among participants living in urban (6.5%) and rural regions (4.9%) (P< 0.001). Atopic family history was the strongest predictor for FA(odds ratio 8.0; 95% CI, 6.2-10.4). Conclusions: Seafood allergy among adults is predominant in Vietnam, followed by beef, milk, and egg, while peanut, soy, and tree nut allergy are much less common. Populations in rural regions have considerably less FA; however, the protective environmental factors have yet to be identified

Neutron Stars in a Varying Speed of Light Theory

We study neutron stars in a varying speed of light (VSL) theory of gravity in which the local speed of light depends upon the value of a scalar field $\phi$. We find that the masses and radii of the stars are strongly dependent on the strength of the coupling between $\phi$ and the matter field and that for certain choices of coupling parameters, the maximum neutron star mass can be arbitrarily small. We also discuss the phenomenon of cosmological evolution of VSL stars (analogous to the gravitational evolution in scalar-tensor theories) and we derive a relation showing how the fractional change in the energy of a star is related to the change in the cosmological value of the scalar field.Comment: 15 pages, 2 figures. Added solutions with a more realistic equation of state. To be published in PR

A Proof of the Generalized Second Law for Two-Dimensional Black Holes

We investigate the generalized second law for two-dimensional black holes in equilibrium (Hartle-Hawking) and nonequilibrium (Unruh) with the heat bath surrounding the black holes. We obtain a simple expression for the change of total entropy in terms of covariant thermodynamic variables, which is valid not only for the Hartle-Hawking state but also for the Unruh state up to leading order, without assuming a quasi-stationary evolution of the black holes. Using this expression, it is shown that the rate of local entropy production is non-negative in the two-dimensional black hole systems.Comment: 15 pages, boundary condition of static black hole is added to clarify the situation, abstract and section 4 (concluding remarks) is rewritten, and minor corrections, references adde

Perspectives on the development and future of oocyte IVM in clinical practice

Oocyte in vitro maturation (IVM) is an assisted reproductive technology designed to obtain mature oocytes following culture of immature cumulus-oocyte complexes collected from antral follicles. Although IVM has been practiced for decades and is no longer considered experimental, the uptake of IVM in clinical practice is currently limited. The purpose of this review is to ensure reproductive medicine professionals understand the appropriate use of IVM drawn from the best available evidence supporting its clinical potential and safety in selected patient groups. This group of scientists and fertility specialists, with expertise in IVM in the ART laboratory and/or clinic, explore here the development of IVM towards acquisition of a non-experimental status and, in addition, critically appraise the current and future role of IVM in human ART.Michel De Vos, Michaël Grynberg, Tuong M. Ho, Ye Yuan, David F. Albertini, Robert B. Gilchris

A Systematic Analysis of the Lepton Polarization Asymmetries in the Rare B Decay, B -> X_s\tau^+\tau^-

The most general model-independent analysis of the lepton polarization asymmetries in the rare B decay, \Bstt, is presented. We present the longitudinal, normal and transverse polarization asymmetries for the $\tau^+$ and $\tau^-$, and combinations of them, as functions of the Wilson coefficients of twelve independent four-Fermi interactions, ten of them local and two nonlocal. These procedures will tell us which type of operators contributes to the process. And it will be very useful to pin down new physics systematically, once we have the experimental data with high statistics and a deviation from the Standard Model is found.Comment: 24 pages, 8 figures, LaTe

Change in angina symptom status after acute myocardial infarction and its association with readmission risk: An analysis of the translational research investigating underlying disparities in acute myocardial infarction patients' health status (TRIUMPH) registry

Angina is common both before and after myocardial infarction (MI). Whether the change in angina status within the first 30 days after MI is associated with subsequent readmission and angina persistence is unknown.We studied 2915 MI patients enrolled at 24 hospitals in the Translational Research Investigating Underlying Disparities in Acute Myocardial Infarction Patients' Health Status (TRIUMPH) registry. Angina before and 30 days after MI was assessed with the Seattle Angina Questionnaire. Patients were divided into angina-free pre- and post-MI (-/-), resolved angina (+/-), new angina (-/+), and persistent angina (+/+) groups. Multivariable proportional hazards and hierarchical modified Poisson models were performed to assess the association of each group with all-cause readmission, readmission for MI or unplanned revascularization, and angina persistence at 1 year. Overall, 1293 patients (44%) had angina before their MI and 849 (29%) reported angina within 30 days of discharge. Patients with post-MI angina were more likely to be younger, nonwhite, and uninsured. Compared with patients who were angina-free pre- and post-MI, 1-year all-cause readmission risks were significantly higher for patients with persistent angina (hazard ratio [HR], 1.35; 95% CI 1.06-1.71) or new angina (HR, 1.40; 95% CI, 1.08-1.82). At 1 year, angina was present in 22% of patients and was more likely if angina was persistent (HR, 3.55; 95% CI, 3.05-4.13) or new (HR, 3.38; 95% CI, 2.59-4.42) at 30 days compared with patients who were angina-free pre- and post-MI.Post-MI angina, whether new or persistent, is associated with higher likelihood of readmission. Prioritizing post-MI angina management is a potential means of improving 1-year outcomes.Jacob A. Doll, Fengming Tang, Sharon Cresci, P. Michael Ho, Thomas M. Maddox, John A. Spertus and Tracy Y. Wan

Dynamics of a deformable self-propelled particle under external forcing

We investigate dynamics of a self-propelled deformable particle under external field in two dimensions based on the model equations for the center of mass and a tensor variable characterizing deformations. We consider two kinds of external force. One is a gravitational-like force which enters additively in the time-evolution equation for the center of mass. The other is an electric-like force supposing that a dipole moment is induced in the particle. This force is added to the equation for the deformation tensor. It is shown that a rich variety of dynamics appears by changing the strength of the forces and the migration velocity of self-propelled particle