27 research outputs found

    Propiedades de paneles geopoliméricos basados en ceniza volante y metacaolín bajo ensayos de resistencia al fuego

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    This paper presents the results of a study about the effect of fire on geopolymer paste composed of fly ashes, metakaolin and sodium silicate. 2 cm thick, 28 cm high and 18 cm wide panels were filled with the paste obtained. After 28 days of curing at 20 °C and 45% of relative humidity, different tests were carried out in the geopolymers: physico-chemical (density, water absorption, porosity), mechanical (flexural and compressive strength), fire resistance and environmental (leaching and radioactivity). The panels manufactured have been compared with other commercial panels in order to determine the recycling possibilities of fly ashes in manufacturing new fire-insulating geopolymers. The panels obtained can be utilized for the production of interior wall materials, with a good physical, mechanical, fire resistant properties without any environmental problem.Este documento presenta los resultados de un estudio sobre el efecto del fuego sobre pastas de geopolímeros compuestas de cenizas volantes, metacaolín y silicato sódico. Con la pasta obtenida se han rellenado paneles de dimensiones 2 cm de espesor, 28 cm de altura y 18 cm de ancho. Tras 28 días de curado a 20 °C y un 45% de humedad relativa, diferentes ensayos fueron realizados en los geopolímeros obtenidos: fisicoquímicos (densidad, absorción de agua, porosidad), mecánicos (resistencia a compresión y a flexión), de resistencia al fuego y medioambientales (lixiviación y radioactividad). Los paneles fabricados han sido comparados con paneles comerciales para determinar las posibilidades de reciclaje de las cenizas volantes para la fabricación de nuevos productos geopoliméricos con propiedades aislantes al fuego. Los paneles obtenidos pueden ser utilizados para la producción de paredes interiores, con buenas propiedades físicas, mecánicas y de resistencia al fuego sin ningún problema medioambiental

    Estudio de la síntesis de ADN de dos carcinomas celulares

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    En trabajos previos hemos demostrado la presencia de un ritmo circadiano en la actividad proliferativa de diferentes poblaciones neoplásicas. Para este trabajo se analizó la síntesis de ADN (ADNs) de dos carcinomas de diferente sitio de origen: de hígado, el hepatocelular ES12a y de mama, el mamario TN60, en ratones, abarcando un ritmo circadiano. Para esto se utilizaron ratones machos adultos de la cepa C3HS, los cuales se dividieron en dos grupos: I) injertados con el tumor ES12a y II) injertados con el tumor TN60.Facultad de Ciencias Médica

    Proliferación celular y expresión del VEGF en un carcinoma mamario murino

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    El objetivo del presente trabajo es analizar la síntesis de ADN (ADNs) y la expresión del VEGF en un carcinoma mamario, el TN60, abarcando un ritmo circadiano.Facultad de Ciencias Médica

    Proliferación celular y expresión del VEGF en un carcinoma mamario murino

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    El objetivo del presente trabajo es analizar la síntesis de ADN (ADNs) y la expresión del VEGF en un carcinoma mamario, el TN60, abarcando un ritmo circadiano.Facultad de Ciencias Médica

    Global Retinoblastoma Presentation and Analysis by National Income Level

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    Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- A nd middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

    Global Retinoblastoma Presentation and Analysis by National Income Level.

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    Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4%) were female. Most patients (n = 3685 [84.7%]) were from low- and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 [62.8%]), followed by strabismus (n = 429 [10.2%]) and proptosis (n = 309 [7.4%]). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 [95% CI, 12.94-24.80], and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 [95% CI, 4.30-7.68]). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs

    The global retinoblastoma outcome study : a prospective, cluster-based analysis of 4064 patients from 149 countries

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    DATA SHARING : The study data will become available online once all analyses are complete.BACKGROUND : Retinoblastoma is the most common intraocular cancer worldwide. There is some evidence to suggest that major differences exist in treatment outcomes for children with retinoblastoma from different regions, but these differences have not been assessed on a global scale. We aimed to report 3-year outcomes for children with retinoblastoma globally and to investigate factors associated with survival. METHODS : We did a prospective cluster-based analysis of treatment-naive patients with retinoblastoma who were diagnosed between Jan 1, 2017, and Dec 31, 2017, then treated and followed up for 3 years. Patients were recruited from 260 specialised treatment centres worldwide. Data were obtained from participating centres on primary and additional treatments, duration of follow-up, metastasis, eye globe salvage, and survival outcome. We analysed time to death and time to enucleation with Cox regression models. FINDINGS : The cohort included 4064 children from 149 countries. The median age at diagnosis was 23·2 months (IQR 11·0–36·5). Extraocular tumour spread (cT4 of the cTNMH classification) at diagnosis was reported in five (0·8%) of 636 children from high-income countries, 55 (5·4%) of 1027 children from upper-middle-income countries, 342 (19·7%) of 1738 children from lower-middle-income countries, and 196 (42·9%) of 457 children from low-income countries. Enucleation surgery was available for all children and intravenous chemotherapy was available for 4014 (98·8%) of 4064 children. The 3-year survival rate was 99·5% (95% CI 98·8–100·0) for children from high-income countries, 91·2% (89·5–93·0) for children from upper-middle-income countries, 80·3% (78·3–82·3) for children from lower-middle-income countries, and 57·3% (52·1-63·0) for children from low-income countries. On analysis, independent factors for worse survival were residence in low-income countries compared to high-income countries (hazard ratio 16·67; 95% CI 4·76–50·00), cT4 advanced tumour compared to cT1 (8·98; 4·44–18·18), and older age at diagnosis in children up to 3 years (1·38 per year; 1·23–1·56). For children aged 3–7 years, the mortality risk decreased slightly (p=0·0104 for the change in slope). INTERPRETATION : This study, estimated to include approximately half of all new retinoblastoma cases worldwide in 2017, shows profound inequity in survival of children depending on the national income level of their country of residence. In high-income countries, death from retinoblastoma is rare, whereas in low-income countries estimated 3-year survival is just over 50%. Although essential treatments are available in nearly all countries, early diagnosis and treatment in low-income countries are key to improving survival outcomes.The Queen Elizabeth Diamond Jubilee Trust and the Wellcome Trust.https://www.thelancet.com/journals/langlo/homeam2023Paediatrics and Child Healt

    Global Retinoblastoma Presentation and Analysis by National Income Level

    Get PDF
    Importance: Early diagnosis of retinoblastoma, the most common intraocular cancer, can save both a child's life and vision. However, anecdotal evidence suggests that many children across the world are diagnosed late. To our knowledge, the clinical presentation of retinoblastoma has never been assessed on a global scale. Objectives: To report the retinoblastoma stage at diagnosis in patients across the world during a single year, to investigate associations between clinical variables and national income level, and to investigate risk factors for advanced disease at diagnosis. Design, Setting, and Participants: A total of 278 retinoblastoma treatment centers were recruited from June 2017 through December 2018 to participate in a cross-sectional analysis of treatment-naive patients with retinoblastoma who were diagnosed in 2017. Main Outcomes and Measures: Age at presentation, proportion of familial history of retinoblastoma, and tumor stage and metastasis. Results: The cohort included 4351 new patients from 153 countries; the median age at diagnosis was 30.5 (interquartile range, 18.3-45.9) months, and 1976 patients (45.4) were female. Most patients (n = 3685 84.7%) were from low-and middle-income countries (LMICs). Globally, the most common indication for referral was leukocoria (n = 2638 62.8%), followed by strabismus (n = 429 10.2%) and proptosis (n = 309 7.4%). Patients from high-income countries (HICs) were diagnosed at a median age of 14.1 months, with 656 of 666 (98.5%) patients having intraocular retinoblastoma and 2 (0.3%) having metastasis. Patients from low-income countries were diagnosed at a median age of 30.5 months, with 256 of 521 (49.1%) having extraocular retinoblastoma and 94 of 498 (18.9%) having metastasis. Lower national income level was associated with older presentation age, higher proportion of locally advanced disease and distant metastasis, and smaller proportion of familial history of retinoblastoma. Advanced disease at diagnosis was more common in LMICs even after adjusting for age (odds ratio for low-income countries vs upper-middle-income countries and HICs, 17.92 95% CI, 12.94-24.80, and for lower-middle-income countries vs upper-middle-income countries and HICs, 5.74 95% CI, 4.30-7.68). Conclusions and Relevance: This study is estimated to have included more than half of all new retinoblastoma cases worldwide in 2017. Children from LMICs, where the main global retinoblastoma burden lies, presented at an older age with more advanced disease and demonstrated a smaller proportion of familial history of retinoblastoma, likely because many do not reach a childbearing age. Given that retinoblastoma is curable, these data are concerning and mandate intervention at national and international levels. Further studies are needed to investigate factors, other than age at presentation, that may be associated with advanced disease in LMICs. © 2020 American Medical Association. All rights reserved

    Properties of fly ash and metakaolín based geopolymer panels under fire resistance tests

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    This paper presents the results of a study about the effect of fire on geopolymer paste composed of fly ashes, metakaolin and sodium silicate. 2 cm thick, 28 cm high and 18 cm wide panels were filled with the paste obtained. After 28 days of curing at 20 °C and 45% of relative humidity, different tests were carried out in the geopolymers: physico-chemical (density, water absorption, porosity), mechanical (flexural and compressive strength), fire resistance and environmental (leaching and radioactivity). The panels manufactured have been compared with other commercial panels in order to determine the recycling possibilities of fly ashes in manufacturing new fire-insulating geopolymers. The panels obtained can be utilized for the production of interior wall materials, with a good physical, mechanical, fire resistant properties without any environmental problem.<br><br>Este documento presenta los resultados de un estudio sobre el efecto del fuego sobre pastas de geopolímeros compuestas de cenizas volantes, metacaolín y silicato sódico. Con la pasta obtenida se han rellenado paneles de dimensiones 2 cm de espesor, 28 cm de altura y 18 cm de ancho. Tras 28 días de curado a 20 °C y un 45% de humedad relativa, diferentes ensayos fueron realizados en los geopolímeros obtenidos: fisicoquímicos (densidad, absorción de agua, porosidad), mecánicos (resistencia a compresión y a flexión), de resistencia al fuego y medioambientales (lixiviación y radioactividad). Los paneles fabricados han sido comparados con paneles comerciales para determinar las posibilidades de reciclaje de las cenizas volantes para la fabricación de nuevos productos geopoliméricos con propiedades aislantes al fuego. Los paneles obtenidos pueden ser utilizados para la producción de paredes interiores, con buenas propiedades físicas, mecánicas y de resistencia al fuego sin ningún problema medioambiental
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