Leiomyosarcoma of the Mesentery

The mesentery is a common site of metastasis from gastrointestinal, pancreatic, and biliary cancers. Primary mesenteric cancers are rare and usually mesenchymal and benign. Mesenteric leiomyosarcoma is a rare, malignant smooth muscle sarcoma with an incidence of 1:350000. It usually arises from the vasculature of the mesentery. The ileum of the small bowel is the most common site of origin. Due to its low incidence, preoperative diagnosis is difficult. This is a report of a 71-year-old woman who presented with several months of a lower abdominal mass and recent onset of associated abdominal discomfort. An earlier colonoscopy 8 months previously was unremarkable. A recent abdominal and pelvic computed tomography scan revealed a necrotic mass in the central mesentery. She underwent surgical resection of the mass to include the overlying segment of the small intestine and had an uneventful convalescence. Mesenteric leiomyosarcoma is a rare tumor that is diagnosed based on histological examination with immunohistochemistry. As a result, there is minimal information on its clinical presentation, pathology, and treatment

Induction and Amplification of Non-Newtonian Gravitational Fields

One obtains a Maxwell-like structure of gravitation by applying the weak-field approximation to the well accepted theory of general relativity or by extending Newton's laws to time-dependent systems. This splits gravity in two parts, namely a gravitoelectric and gravitomagnetic (or cogravitational) one. Due to the obtained similar structure between gravitation and electromagnetism, one can express one field by the other one using a coupling constant depending on the mass to charge ratio of the field source. Calculations of induced gravitational fields using state-of-the-art fusion plasmas reach only accelerator threshold values for laboratory testing. Possible amplification mechanisms are mentioned in the literature and need to be explored. The possibility of using the principle of equivalence in the weak field approximation to induce non-Newtonian gravitational fields and the influence of electric charge on the free fall of bodies are also investigated, leading to some additional experimental recommendations

Más allá de la accesibilidad física: la influencia de la comunicación digital y el uso de la tecnología sobre el turismo: análisis bibliométrico

En los últimos años el incremento de la digitalización en la sociedad, supone un reto para que cualquier persona independientemente de su discapacidad, pudiera desenvolverse en este medio sin ningún tipo de barreras tecnológicas. La información accesible se convierte en otra barrera para el viajero con alguna discapacidad en el momento de la planificación de un viaje. Por lo tanto, la comunicación y la información disponible mediante las nuevas tecnologías, contribuyen a que la experiencia turística sea más accesible y satisfaga las necesidades en lo que se define como “Turismo para todos”. Por ello, el principal objetivo de esta investigación es realizar un análisis bibliométrico a través de Web of Science (WoS) sobre los artículos publicados relacionados con la influencia de la comunicación digital y el uso de la tecnología en el turismo. Se ha analizado un total de 290 artículos, mediante el programa VOSviewer y SciMAT.Universidad de Málaga. Campus de Excelencia Internacional Andalucía Tech

Intratumoral Injection of Propionibacterium acnes Suppresses Malignant Melanoma by Enhancing Th1 Immune Responses

Malignant melanoma (MM) is an aggressive cutaneous malignancy associated with poor prognosis; many putatively therapeutic agents have been administered, but with mostly unsuccessful results. Propionibacterium acnes (P. acnes) is an aerotolerant anaerobic gram-positive bacteria that causes acne and inflammation. After being engulfed and processed by phagocytes, P. acnes induces a strong Th1-type cytokine immune response by producing cytokines such as IL-12, IFN-γ and TNF-α. The characteristic Th2-mediated allergic response can be counteracted by Th1 cytokines induced by P. acnes injection. This inflammatory response induced by P. acnes has been suggested to have antitumor activity, but its effect on MM has not been fully evaluated

Noncutaneous malignant melanoma: a prognostic model from a retrospective multicenter study

Abstract Background We performed multicenter study to define clinical characteristics of noncutaneous melanomas and to establish prognostic factors patients who received curative resection. Methods Of the 141 patients who were diagnosed of non-cutaneous melanoma at 4 institutions in Korea between June 1992 and May 2005, 129 (91.5%) satisfied the selection criteria. Results Of the 129 noncutaneous melanoma patients, 14 patients had ocular melanoma and 115 patients had mucosal melanoma. For mucosal melanoma, anorectum was the most common anatomic site (n = 39, 30.2%) which was followed by nasal cavity (n = 30, 23.3%), genitourinary (n = 21, 16.3%), oral cavity (n = 14, 10.9%), upper gastrointestinal tract (n = 6, 4.7%) and maxillary sinus (n = 5, 3.9%) in the order of frequency. With the median 64.5 (range 4.3-213.0) months follow-up, the median overall survival were 24.4 months (95% CI 13.2-35.5) for all patients, and 34.6 (95% CI 24.5-44.7) months for curatively resected mucosal melanoma patients. Adverse prognostic factors of survival for 87 curatively resected mucosal melanoma patients were complete resection (R1 resection margin), and age > 50 years. For 14 ocular melanoma, Survival outcome was much better than mucosal melanoma with 73.3% of 2 year OS and 51.2 months of median OS (P = .04). Conclusion Prognosis differed according to primary sites of noncutaneous melanoma. Based on our study, noncutaneous melanoma patients should be treated differently to improve survival outcome.Peer Reviewe