Management of benign inverted sinonasal papilloma avoiding external approaches

Even though endoscopic removal of inverted papillomas has gained popularity, many studies advocate supplementary external approaches. The impact of including the current surgical staging system into the pre-operative clinical and radiological assessment has not been systematically evaluated. We present our experience with total endoscopic management of inverted papillomas and compare the accuracy of the pre-operative predicted extent of surgery, with the actually performed surgery. From 1997 to 2005 data from 51 patients with inverted papillomas were prospectively collected and subsequently reviewed. All have been operated on endoscopically without an external approach. The overall recurrence rate was 3.9 per cent. Pre-operative prediction of extent of surgery was accurate in 26 of 51 (51 per cent). The main reasons for the inaccurate pre-operative prediction were the variable sizes and locations of the inverted papilloma bases, particularly in the maxillary sinus and the frontal recess. Our results encourage us to recommend endoscopic management as the standard treatment of benign inverted papillomas

Non-steroidal anti-inflammatory drugs decrease the quality of pleurodesis after mechanical pleural abrasion

Objective: Non-steroidal anti-inflammatory drugs (NSAIDs) are often applied for pain management after thoracic surgery. Since these drugs diminish collagen deposition through inhibition of the prostaglandin synthesis, we investigated their effects on adhesion formation after endoscopic mechanical pleural abrasion, which is often applied in the therapy of pneumothorax. Methods: Mechanical pleural abrasion was performed unilaterally by the use of video-assisted thoracoscopic surgery technique in an established pig model. Ten animals (41.3±3.4 kg) were divided into a treatment group and a control group. In the treatment group, animals received 100 mg diclofenac (2 mg/kg body weight) orally daily for 3 weeks after surgery. At 3 weeks, all animals were sacrificed and efficacy of pleurodesis was macroscopically assessed by three independent reviewers blinded to the treatment of animals using a five-point severity pleurodesis score (from 0, no adhesions to 4, complete symphisis) and obliteration grade rating the distribution of adhesions (from 0, no adhesions to 4, adhesions in the whole chest). Microscopic evaluation was performed by two pathologists blinded to the study groups as well. A four-point score assessed the amount of collagen deposition (from 1, a few collagen fibers to 4, scar). Results: Gross observation showed more dense adhesions in control animals with a median pleurodesis score of 3.67±1.0 in comparison to 2±2.2 in the treatment group (P=0.01*, Mann-Whitney non-parametric test). Distribution of adhesions was comparable in both groups with a median obliteration score of 3.67±1.3. Histopathologic examination showed a higher amount of collagen deposition in the control group, suggesting more dense adhesions, whereas in the treatment group there was loose granulation tissue (score of 4.0±0.8 vs. 2.3±1.0 in the treatment group, P=0.06). The degree of inflammatory reaction was comparable in the two groups. Conclusions: Our results demonstrate that perioperative use of NSAIDs highly affects the quality of pleural adhesions obtained after mechanical abrasion in this pig model, which further suggests that these drugs should be avoided for pain management when a pleurodesis is performe

Opinions of Stakeholders and Consumers on the Sustainability of the Soy and Beef Supply Chain in Latin America and Europe

Long, complex and globalised food chains often pose major challenges in terms of the sustainability of their environmental, economic and social impacts. The aim of this study was to gain a better understanding of the sustainability of the beef and soy supply chains in Latin America and the European Union (EU). Within an FP 7 project called SALSA, we explored the attitudes towards, preferences for, and awareness of specific sustainability aspects of supply chains from the perspective of non-business and business stakeholders as well as consumers

QCD and models on multiplicities in e+e−e^+e^- and ppˉp\bar p interactions

A brief survey of theoretical approaches to description of multiplicity distributions in high energy processes is given. It is argued that the multicomponent nature of these processes leads to some peculiar characteristics observed experimentally. Predictions for LHC energies are presented. It is shown that similarity of the energy dependence of average multiplicities in different reactions is not enough alone to suggest the universal mechanism of particle production in strongly-interacting systems. Other characteristics of multiplicity distributions depend on the nature of colliding partners.Comment: 16 pages, 11 figures, Phys. Atom. Nuc

Food additives: Sodium benzoate, potassium sorbate, azorubine, and tartrazine modify the expression of NFκB, GADD45α, and MAPK8 genes

It has been reported that some of the food additives may cause sensitization, inflammation of tissues, and potentially risk factors in the development of several chronic diseases. Thus, we hypothesized that expressions of common inflammatory molecules – known to be involved in the development of various inflammatory conditions and cancers – are affected by these food additives. We investigated the effects of commonly used food preservatives and artificial food colorants based on the expressions of NFκB, GADD45α, and MAPK8 (JNK1) from the tissues of liver. RNA was isolated based on Trizol protocol and the activation levels were compared between the treated and the control groups. Tartrazine alone could elicit effects on the expressions of NFκB (p = 0.013) and MAPK8 (p = 0.022). Azorubine also resulted in apoptosis according to MAPK8 expression (p = 0.009). Preservatives were anti-apoptotic in high dose. Sodium benzoate (from low to high doses) dose-dependently silenced MAPK8 expression (p = 0.004 to p = 0.002). Addition of the two preservatives together elicited significantly greater expression of MAPK8 at half-fold dose (p = 0.002) and at fivefold dose (p = 0.008). This study suggests that some of the food preservatives and colorants can contribute to the activation of inflammatory pathways

Effect of VEGF receptor inhibitor PTK787/ZK222548 combined with ionizing radiation on endothelial cells and tumour growth

The vascular endothelial growth factor (VEGF) receptor is a major target for anti-angiogenesis-based cancer treatment. Here we report the treatment effect of ionizing radiation in combination with the novel orally bioavailable VEGF receptor tyrosine kinase inhibitor PTK787/ZK222584 on endothelial cell proliferation in vitro and with tumour xenografts in vivo. Combined treatment of human umbilical vein endothelial cells with increasing doses of PTK787/ZK222584 and ionizing radiation abrogated VEGF-dependent proliferation in a dose-dependent way, but inhibition of endothelial cell proliferation was not due to apoptosis induction. In vivo, a combined treatment regimen of PTK787/ZK222584 (4 × 100 mg/kg) during 4 consecutive days in combination with ionizing radiation (4 × 3 Gy) exerted a substantial tumour growth delay for radiation-resistant p53-disfunctional tumour xenografts derived from SW480 colon adenocarcinoma cells while each treatment modality alone had only a minimal effect on tumour size and neovascularization. SW480 tumours from animals that received a combined treatment regimen, displayed not only an extended tumour growth delay but also a significant decrease in the number of microvessels in the tumour xenograft. These results support the model of a cooperative antitumoural effect of angiogenesis inhibitor and irradiation and show that the orally bioavailable VEGF receptor tyrosine kinase inhibitor PTK787/ZK222584 is suitable for combination therapy with irradiation. © 2001 Cancer Research Campaign http://www.bjcancer.co

ICONE12-49300 DEVELOPMENT OF THE METHODOLOGY OF THE SAFETY ANALYSIS PERFORMED BY THE COUPLED KIKO3D/ATHLET CODE SYSTEM IN VVER-440 TYPE NPP

ABSTRACT In the deterministic safety analysis codes are required in order to provide evaluations of potential nuclear plant accidents. In the fields of the core transient behaviour, the computer codes have achieved a high degree of realistic modelling. Nevertheless, some further tools for the investigations of the wide range of physical phenomena in the whole plant transient, such as modeling the ex-core detector signals and the malfunctioning of the emergency control system are unavoidable, too. The programs and methods used in KFKI-AEKI for safety analysis of VVER-440 NPP are presented. The accident analysis methodology for a boron dilution scenario, in which an inactive coolant loop is started, is shown

On kinematics and dynamics of independent pion emission

Multiparticle boson states, proposed recently for 'independently' emitted pions in heavy ion collisions, are reconsidered in standard second quantized formalism and shown to emerge from a simplistic chaotic current dynamics. Compact equations relate the density operator, the generating functional of multiparticle counts, and the correlator of the external current to each other. 'Bose-Einstein-condensation' is related to the external pulse. A quantum master equation is advocated for future Monte-Carlo simulations.Comment: 10 pages LaTeX, Sec.7 adde