498 research outputs found
What information could the main actors of liquid biopsy provide? A representative case of non-small cell lung cancer (NSCLC)
In non-small cell lung cancer (NSCLC), there is a consensus regarding the use of liquid biopsy, generally, to detect "druggable" mutations and, in particular, to monitor tyrosine kinase inhibitor (TKI) treatments. However, whether circulating tumor cells (CTCs) are better tools than cell-free DNA (cfDNA), is still a matter of debate, mainly concerning which antigen(s) we should use to investigating simultaneously both epithelial and epithelial-to-mesenchymal transient (EMT) phenotype in the same sample of CTCs. To address this item, we exploited here a single-tube liquid biopsy, to detect both epithelial cell adhesion molecule (EpCAM)-positive CTCs and EpCAM-low/negative CTCs, because down-modulation of EpCAM is considered the first step in EMT. Furthermore, we analyzed the DNA from CTCs of four different phenotypes (ctcDNA), according to their EpCAM expression and cytokeratin pattern, and circulating tumor DNA (ctDNA) by droplet digital PCR (ddPCR), in order to disclose activating and resistancedriving mutations. Liquid biopsy reflected spatial and temporal heterogeneity of the tumor under treatment pressure. We provide the proof-of-concept that the complementary use of ctDNA and ctcDNA represents a reliable, minimally invasive and dynamic tool for a more comprehensive view of tumor evolution
Metronomic Chemotherapy with Vinorelbine Produces Clinical Benefit and Low Toxicity in Frail Elderly Patients Affected by Advanced Non-Small Cell Lung Cancer
Lung cancer is the leading cause of death worldwide. The treatment choice for advanced stage of lung cancer may depend on histotype, performance status (PS), age, and comorbidities. In the present study, we focused on the effect of metronomic vinorelbine treatment in elderly patients with advanced unresectable non-small cell lung cancer (NSCLC). Methods. From January 2016 to December 2016, 44 patients affected by non-small cell lung cancer referred to our oncology day hospital were progressively analyzed. The patients were treated with oral vinorelbine 30 mg x 3/wk or 40 mg x 3/wk meaning one day on and one day off. The patients were older than 60, stage IIIB or IV, ECOG PS ≥ 1, and have at least one important comorbidity (renal, hepatic, or cardiovascular disease). The schedule was based on ECOG-PS and comorbidities. The primary endpoint was progression-free survival (PFS). PFS was used to compare patients based on different scheduled dosage (30 or 40 mg x3/weekly) and age (more or less than 75 years old) as exploratory analysis. We also evaluated as secondary endpoint toxicity according to Common Toxicity Criteria Version 2.0. Results. Vinorelbine showed a good safety profile at different doses taken orally and was effective in controlling cancer progression. The median overall survival (OS) was 12 months. The disease control rate (DCR) achieved 63%. The median PFS was 9 months. A significant difference in PFS was detected comparing patients aged below with those over 75, and the HR value was 0.72 (p<0.05). Not significant was the difference between groups with different schedules. Conclusions. This study confirmed the safety profile of metronomic vinorelbine and its applicability for patients unfit for standard chemotherapies and adds the possibility of considering this type of schedule not only for very elderly patients
EChO Payload electronics architecture and SW design
EChO is a three-modules (VNIR, SWIR, MWIR), highly integrated spectrometer,
covering the wavelength range from 0.55 m, to 11.0 m. The baseline
design includes the goal wavelength extension to 0.4 m while an optional
LWIR module extends the range to the goal wavelength of 16.0 m.
An Instrument Control Unit (ICU) is foreseen as the main electronic subsystem
interfacing the spacecraft and collecting data from all the payload
spectrometers modules. ICU is in charge of two main tasks: the overall payload
control (Instrument Control Function) and the housekeepings and scientific data
digital processing (Data Processing Function), including the lossless
compression prior to store the science data to the Solid State Mass Memory of
the Spacecraft. These two main tasks are accomplished thanks to the Payload On
Board Software (P-OBSW) running on the ICU CPUs.Comment: Experimental Astronomy - EChO Special Issue 201
Echocardiography combined with cardiopulmonary exercise testing for the prediction of outcome in idiopathic pulmonary arterial hypertension
BACKGROUND:
Right ventricular (RV) function is a major determinant of exercise intolerance and outcome in idiopathic pulmonary arterial hypertension (IPAH). The aim of the study was to evaluate the incremental prognostic value of echocardiography of the RV and cardiopulmonary exercise testing (CPET) on long-term prognosis in these patients.
METHODS:
One hundred-thirty treatment-naïve IPAH patients were enrolled and prospectively followed. Clinical worsening (CW) was defined by a reduction in 6-minute walk distance plus an increase in functional class, or non elective hospitalization for PAH, or death. Baseline evaluation included clinical, hemodynamic, echocardiographic and CPET variables. Cox regression modeling with c-statistic and bootstrapping validation methods were done.
RESULTS:
During a mean period of 528 ± 304 days, 54 patients experienced CW (53%). Among demographic, clinical and hemodynamic variables at catheterization, functional class and cardiac index were independent predictors of CW (Model-1). With addition of echocardiographic and CPET variables (Model-2), peak O2 pulse (peak VO2/heart rate) and RV fractional area change (RVFAC) independently improved the power of the prognostic model (AUC: 0.81 vs 0.66, respectively; p=0.005). Patients with low RVFAC and low O2 pulse (low RVFAC + low O2 pulse) and high RVFAC+low O2 pulse showed 99.8 and 29.4 increase in the hazard ratio, respectively (relative risk -RR- of 41.1 and 25.3, respectively), compared with high RVFAC+high O2 pulse (p=0.0001).
CONCLUSIONS:
Echocardiography combined with CPET provides relevant clinical and prognostic information. A combination of low RVFAC and low O2 pulse identifies patients at a particularly high risk of clinical deterioration
RELATÓRIO TÉCNICO DOS CRUZEIROS DO PROJETO VIEIRA. I. CRUZEIRO 1(4 A 9 DE DEZEMBRO DE 1995)
Main technical results and original data of Cruise I of the Scallop Project (December 4 to 9, 1995) are presented in this Report. Sampling sites were distributed along seven transects, between the 30 and 50 meters isobaths, according to information of previous surveys carried out in 1975. Salinity and temperature of the water column, and sediment samples were obtained at each sampling site for a physical characterisation of the scallop grounds. Two types of beam-trawl and one dredge were tested to catch scallops and benthic samples. Salinity and temperature showed an important gradient, with high temperatures and low salinities at surface waters, and low temperature and high salinities at bottom waters. Sediments were constituted by pure fine to very fine sands. Organic matter and calcium carbonate content, together with other statistical sediment parameters, showed a bathymetrical variation. Along the study area, two beds were found, at SSE of Bom Abrigo Island (São Paulo State) and E of São Francisco do Sul Island (Santa Catarina State), both between 36 and 40 m depth. Very low scallop catches were probably related to a total depletion of the original stock. Future cruises will try to determine the efficiencies of the beam-trawl for a real estimation of scallops densities.Neste relatório são apresentados os dados originais e principais resultados técnicos do Cruzeiro I do Projeto Vieira, realizado entre 4 e 9 de dezembro de 1995. As estações de amostragem foram distribuÃdas ao longo de 7 transversais entre as isóbatas de 30 e 50 m, em áreas de reconhecida ocorrência de vieiras no passado. Foram obtidos perfis verticais de temperatura e salinidade da água em todas as estações, bem como amostras de sedimento, visando uma caracterização fÃsica da região. Dois tipos de beam trawl e uma draga foram empregados na captura de vieira e amostras da macrofauna bentõnica. A temperatura e a salinidade mostraram um gradiente acentuado, com altas temperaturas e baixas salinidades em superfÃcie, e baixas temperaturas e altas salinidades junto ao fundo. Os sedimentos são constituÃdos de areia fina a muito fina. Tanto os parâmetros granulométricos como o conteúdo de matéria orgânica e carbonato de cálcio mostraram um gradiente batimétrico em seus valores. Ao longo da área de estudo, foram encontrados dois bancos de vieira, um a SSE da Ilha do Bom Abrigo, no litoral sul de São Paulo, e outro a E da Ilha de São Francisco do Sul, no norte de Santa Catarina, ambos entre 36 e 40 metros de profundidade. Entretanto, as capturas em ambos os bancos foram reduzidas, indicando, provavelmente, a ocorrência de uma depleção total no estoque original. Em cruzeiros futuros, a eficiência de captura do beam trawl será determinada com o objetivo de realizar uma estimação real da densidade de vieiras nas áreas
Preliminary analysis of the genetic variability of two natural beds of the Scallop Euvola ziczac (Linnaeus, 1758) in Brazil
Euvola ziczac (formerly Pecten ziczac), a simultaneous hermaphroditic scallop was heavily fished in
Brazil between 1972 and 1980. The production peaked in 1980 with 8,800 tons and was followed by the
total collapse of the resource. In order to investigate the possible loss of genetic variability of the stock
associated to overfishing and self-fertilization, the polymorphism of phosphoglucomutase (PGM) and
glucose phosphate isomerase (GPI) was analyzed by electrophoresis of the adductor muscle of scallops
from São Francisco (26° 20.583S; 48° 16.507W) and Bom Abrigo (25° 28.735S; 47° 37.621W) beds;
the southern and northern extremes of the scallop fishing ground, respectively. Animals from São
Francisco showed a strong deficiency of heterozygosity for GPI and PGM. In addition, PGM showed
*exclusive alleles for each bed. Such results coupled with other information about the species
suggested the following hypothesis: a) the stock was a metapopulation with at least two populations; b)
some reproductive isolation might be occurring which might be influenced by conditions of larval
transport and by the extremely low densities of scallops; c) presently, the stock seemed to be mostly
maintained through self-fertilization; d) São Francisco could constitute a source-area, contributing with
larvae and recruits to Bom Abrigo and other areas; e) both beds were suffering a genetic
homogenization more evident in São Francisco. Such hypothesis needed to be investigated in order to
furnish guidelines for future programs of recovery and management of the resource.info:eu-repo/semantics/publishedVersio
Transverse orange nail lesions following SARS-CoV-2 infection
We report the case of an 89-year-old woman in a nursing home
who amid an outbreak of coronavirus disease 2019 (COVID-19) presented cough and asthenia
Characterizing the structure of diffuse emission in Hi-GAL maps
We present a study of the structure of the Galactic interstellar medium
through the Delta-variance technique, related to the power spectrum and the
fractal properties of infrared/sub-mm maps. Through this method, it is possible
to provide quantitative parameters which are useful to characterize different
morphological and physical conditions, and to better constrain the theoretical
models. In this respect, the Herschel Infrared Galactic Plane Survey carried
out at five photometric bands from 70 to 500 \mu m constitutes an unique
database for applying statistical tools to a variety of regions across the
Milky Way. In this paper, we derive a robust estimate of the power-law portion
of the power spectrum of four contiguous 2{\deg}x2{\deg} Hi-GAL tiles located
in the third Galactic quadrant (217{\deg} < l < 225{\deg}, -2{\deg} < b <
0{\deg}). The low level of confusion along the line of sight testified by CO
observations makes this region an ideal case. We find very different values of
the power spectrum slope from tile to tile but also from wavelength to
wavelength (2 < \beta < 3), with similarities between fields attributable to
components located at the same distance. Thanks to the comparison with models
of turbulence, an explanation of the determined slopes in terms of the fractal
geometry is also provided, and possible relations with the underlying physics
are investigated. In particular, an anti-correlation between ISM fractal
dimension and star formation efficiency is found for the two main distance
components observed in these fields. A possible link between the fractal
properties of the diffuse emission and the resulting clump mass function is
discussed.Comment: Accepted by Ap
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ISO-LWS study of pre-main sequence sources
We present the results obtained with the ISO Long Wavelength Spectrometer on a sample of Pre-MS sources, where several molecular lines of CO, H2O and OH have been detected. The analysis of the CO lines indicates that gas temperatures as low as 200 K are consistent with the data. This would be in agreement with the relatively low abundance of water in the gas phase measured in most of the objects
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