RESUMO
BACKGROUND: The spine is the most common site of skeletal metastases. The evolution of surgical methods, medical treatment, and radiation therapy has led to improved survival, functional status, and quality of life for patients with cancer. The role of surgery in the treatment of patients with spinal metastases has evolved over time. METHODS: A review of publications describing the role of open surgery and vertebroplasty was performed and the results are summarized. RESULTS: The treatment goals of spinal metastases include the preservation and restoration of neurologic function and spinal stability. Modern imaging modalities provide accurate methods of tumor diagnosis. A variety of approaches and stabilization techniques are available and should be tailored to the location of the tumor and systemic comorbidities. CONCLUSIONS: As part of multidisciplinary treatment that includes radiation therapy and chemotherapy, surgery provides an effective method of restoration and preservation of neurologic function and spinal stability for patients with metastatic spinal tumors.
Assuntos
Neoplasias da Coluna Vertebral/secundário , Neoplasias da Coluna Vertebral/cirurgia , HumanosRESUMO
The social amoebae are exceptional in their ability to alternate between unicellular and multicellular forms. Here we describe the genome of the best-studied member of this group, Dictyostelium discoideum. The gene-dense chromosomes of this organism encode approximately 12,500 predicted proteins, a high proportion of which have long, repetitive amino acid tracts. There are many genes for polyketide synthases and ABC transporters, suggesting an extensive secondary metabolism for producing and exporting small molecules. The genome is rich in complex repeats, one class of which is clustered and may serve as centromeres. Partial copies of the extrachromosomal ribosomal DNA (rDNA) element are found at the ends of each chromosome, suggesting a novel telomere structure and the use of a common mechanism to maintain both the rDNA and chromosomal termini. A proteome-based phylogeny shows that the amoebozoa diverged from the animal-fungal lineage after the plant-animal split, but Dictyostelium seems to have retained more of the diversity of the ancestral genome than have plants, animals or fungi.
Assuntos
Dictyostelium/genética , Genoma , Genômica , Comportamento Social , Transportadores de Cassetes de Ligação de ATP/genética , Animais , Composição de Bases , Adesão Celular/genética , Movimento Celular/genética , Centrômero/genética , Sequência Conservada/genética , Elementos de DNA Transponíveis/genética , DNA Ribossômico/genética , Dictyostelium/citologia , Dictyostelium/enzimologia , Dictyostelium/metabolismo , Células Eucarióticas/metabolismo , Duplicação Gênica , Transferência Genética Horizontal/genética , Humanos , Dados de Sequência Molecular , Filogenia , Proteoma , Proteínas de Protozoários/química , Proteínas de Protozoários/genética , RNA de Transferência/genética , Sequências Repetitivas de Ácido Nucleico/genética , Análise de Sequência de DNA , Transdução de Sinais/genética , Telômero/genéticaRESUMO
In water-based heat transfer systems, frequently glycols are added to the water to obtain freeze protection. For this purpose, ethylene glycol (EG) is the most common substance used. When heated, the glycol will slowly degrade and the pH of the glycol-water mixture will decrease, leading to corrosion and foaming problems. Carboxylic acids were identified as the main degradation products. Quantification of the carboxylic acids is of importance to monitor the degradation reactions in order to identify hot spots or overheating, caused by severe heat exchanger scaling, where pH measurements will not be sufficient due to buffer substances added for corrosion protection. In this work, ion chromatographic methods havebeen developed to identify the main degradation products of EG in heat transfer systems and to monitor the degradation process. Possible acidic reaction products of EG are glycolic acid, glyoxylic acid, oxalic acid, acetic acid and formic acid. Separations with a Dionex AS9-HC column with Na2CO3 eluents of differing concentrations showed that only trace amounts of carboxylic acids are present in aged heat transfer media. Oxalic acid can be quantified simultaneously to nitrite or molybdate which are added as corrosion inhibitors. A Dionex AS10 separation column with Na2B4O7 eluent enabled base line separation of glycolic acid, acetic acid and formic acid. Heat transfer media, which are operated in different heat transfer systems under different conditions, were analysed. A system was identified, where severe overheating due to fluid maldistribution in the heat exchanger took place.