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BACKGROUND: Understanding biological differences between different racial groups of human papillomavirus (HPV)-associated oropharyngeal squamous cell carcinoma (OPSCC) patients, who have differences in terms of incidence, survival, and tumor morphology, can facilitate accurate prognostic biomarkers, which can help develop personalized treatment strategies. METHODS: This study evaluated whether there were morphologic differences between HPV-associated tumors from Black and White patients in terms of multinucleation index (MuNI), an image analysis-derived metric that measures density of multinucleated tumor cells within epithelial regions on hematoxylin-eosin images and previously has been prognostic in HPV-associated OPSCC patients. In this study, the authors specifically evaluated whether the same MuNI cutoff that was prognostic of overall survival (OS) and disease-free survival in their previous study, TTR , is valid for Black and White patients, separately. We also evaluated population-specific cutoffs, TB for Blacks and TW for Whites, for risk stratification. RESULTS: MuNI was statistically significantly different between Black (mean, 3.88e-4; median, 3.67e-04) and White patients (mean, 3.36e-04; median, 2.99e-04), with p = .0078. Using TTR , MuNI was prognostic of OS in the entire population with hazard ratio (HR) of 1.71 (p = .002; 95% confidence interval [CI], 1.21-2.43) and in White patients with HR of 1.72 (p = .005; 95% CI, 1.18-2.51). Population-specific cutoff, TW , yielded improved HR of 1.77 (p = .003; 95% CI, 1.21-2.58) for White patients, whereas TB did not improve risk-stratification in Black patients with HR of 0.6 (p = .3; HR, 0.6; 95% CI, 0.2-1.80). CONCLUSIONS: Histological difference between White and Black patient tumors in terms of multinucleated tumor cells suggests the need for considering population-specific prognostic biomarkers for personalized risk stratification strategies for HPV-associated OPSCC patients.
Assuntos
Alphapapillomavirus , Carcinoma de Células Escamosas , Neoplasias de Cabeça e Pescoço , Neoplasias Orofaríngeas , Infecções por Papillomavirus , Biomarcadores , Carcinoma de Células Escamosas/patologia , Amarelo de Eosina-(YS) , Neoplasias de Cabeça e Pescoço/complicações , Hematoxilina , Humanos , Papillomaviridae , Prognóstico , Estudos Retrospectivos , Carcinoma de Células Escamosas de Cabeça e Pescoço/complicaçõesRESUMO
Obesity is no longer considered as a cosmetic issue as it is a potential risk factor to develop hypertension, type-2 diabetes, cardio vascular diseases (CVDs), infertility, arthritis etc. Apart from genetic factors, changes in life styles, food and work habits have lead to alarming raise in obesity ailments in both developed and developing countries. The excess and unutilized food takenin is converted into lipid components, primarily triglycerides and is stored in the liver, adipose and other tissues; if the positive energy balance extends a longer period it will lead to overweight, obesity and CVDs. Cardiovascular diseases are a group of disorders of the heart and blood vessels and cause greater mortality rate worldwide. Although a number of drugs have been developed to contain these diseases, most of them suffer from significant side effects and some of them have been even withdrawn from markets. In view of this, there is a growing emphasis for natural product based drugs. In this book chapter, the present scenario of obesity-CVDs and their causative factors are described besides mentioning currently available medications to treat them. The role of phytochemicals in treating obesity-CVDs and their possible mode of action is also highlighted. This study strengthens our understanding on obesity-CVDs and paves the way to develop novel and cost-effective plant based drugs/formulations with minimum side effects to treat these lifestyle based diseases.
RESUMO
BACKGROUND: Acute myeloid leukemia (AML) is a clinically complex and very heterogeneous disease at the molecular level. Conventional cytogenetic analysis and FISH (fluorescence in situ hybridization) tests provide important information about the biological and clinical background of the disease and enable the classification of AML patients into three risk groups. However, up to half of patients have normal cytogenetics. Determining prognosis and treatment strategies in this group of patients is challenging. The development of molecular genetic methods, including next generation sequencing in the last decade, has led to the discovery of a number of recurrent mutations that have contributed to increasing the accuracy of prognosis of those patients with cytogenetically normal AML. Besides the prognostic value of these mutations, they may also be used to monitor minimal residual disease during and after treatment of AML and additionally constitute potential targets for the development of new therapeutic agents. The importance of molecular genetic testing of all patients with AML is highlighted by the WHO classification of 2008 in which subgroups of AML are purely defined by molecular genetics markers. AIM: In this article, we provide an overview of the most significant mutations in patients with cytogenetically normal AML. We describe their significance for prognosis, their importance in monitoring minimal residual disease, and their potential for the development of new targeted therapies. Further, we briefly draw attention to the significance of gene mutation accumulation in clonal disease development and how it affects the time of AML relapse.
Assuntos
Leucemia Mieloide Aguda/tratamento farmacológico , Leucemia Mieloide Aguda/genética , Biomarcadores , Análise Mutacional de DNA , Testes Genéticos , Humanos , Prognóstico , RecidivaRESUMO
Coastal wetlands in Ghana are under severe threat of anthropogenic drivers of habitat degradation and climate change, thereby increasing the need for assessment and monitoring to inform targeted and effective conservation of these ecosystems. Here, we assess small mammal species richness, relative abundance and body mass in three habitats at the Muni-Pomadze Ramsar site of Ghana, and compare these to baseline data gathered in 1997 to evaluate changes in the wetland ecosystem. Small mammals were live-trapped using Sherman collapsible and pitfall traps. We recorded 84 individuals of 10 species in 1485 trap-nights, whereas the baseline study recorded 45 individuals of seven species in 986 trap-nights. The overall trap-success was therefore greater in the present study (5.66 %) than the baseline study (4.56 %). The species richness increased from one to four in the forest, and from zero to eight in the thicket, but decreased from six to four in the grassland. The total number of individuals increased in all habitats, with the dominant species in the grassland shifting from Lemniscomys striatus to Mastomys erythroleucus. Three species, Malacomys edwardsi, Grammomys poensis and Praomys tullbergi are the first records for the Muni-Pomadze Ramsar site. Generally, the average body mass of individual species in the grassland was lower in the present study. The considerable changes in small mammal community structure suggest changes in the wetland ecosystem. The conservation implications of our findings are discussed.
Assuntos
Biodiversidade , Conservação dos Recursos Naturais , Animais , Mudança Climática , Monitoramento Ambiental , Florestas , Gana , Pradaria , Mamíferos , Densidade Demográfica , Áreas AlagadasRESUMO
A review of the literature regarding psychiatric thoughts in ancient India is attempted. Besides interesting reading, many of the concepts are still relevant and can be used in day-to-day practice especially towards healthy and happy living. Certain concepts are surprisingly contemporary and valid today. They can be used in psychotherapy and counselling and for promoting mental health. However, the description and classification of mental illness is not in tune with modern psychiatry.
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The Assamiidae (Opiliones: Assamiidae) from Río Muni (Equatorial Guinea), with the description of eight new species. The Opiliones from Equatorial Guineas Continental Region (formerly Río Muni) had not been studied previously. A collection made in 1996 produced 22 species, ten of which belong to the Assamiidae and are studied herein: Chilon robustus and Mbinia xenophora gen. nov., sp. nov. (Erecinae); Podauchenius longipes and Rhabdopygus funilignorum sp. nov. (Hypoxestinae); Ayenea trimaculata gen. nov., sp. nov., Montalenia forficula gen. nov., sp. nov. and Niefanga spinosa gen. nov., sp. nov. (Polycoryphinae); Binderia longipes sp. nov., Seuthes inermis sp. nov. and Seuthessus coriscanus sp. nov. (Selencinae). We consider Ayenea, Montalenia and Niefanga an informal suprageneric group characterized by two orifices on the dorsal side of the penis and a thick genital operculum. Identification keys to species of these taxa are provided, together with color photographs of both sexes (except the female of Binderia longipes). Eight of the ten assamiid species have been recorded from the Monte Alén National Park; only two selencine species (apparently coastal) are absent. Rev. Biol. Trop. 58 (1): 203-243. Epub 2010 March 01.
Los Opiliones de Guinea Ecuatorial y su Región Continental (antiguamente conocida como Río Muni) no habían sido previamente estudiados. El material recogido en 1996 ha proporcionado 22 especies, de las que diez pertenecen a la familia Assamiidae y son objeto de este trabajo: Chilon robustus gen. nov., sp. nov. y Mbinia xenophora gen. nov., sp. nov. (Erecinae), Podauchenius longipes sp. nov. y Rhabdopygus funilignorum sp. nov. (Hypoxestinae), Ayenea trimaculata gen. nov., sp. nov., Montalenia forfícula gen. nov., sp. nov. y Niefanga spinosa gen. nov., sp. ov. (Polycoryphinae), Binderia longipes sp. nov., Seuthes inermis sp. nov. y Seuthessus coriscanus sp. nov. (Selencinae). Se considera a Ayenea, Montalenia y Niefanga como un nuevo grupo supragenérico basado en la presencia de un par de orificios en el lado dorsal del pene y un grueso opérculo genital con mecanismo de apertura. Se añaden claves para la identificación de especies de los taxones tratados, así como fotografías a color de ambos sexos (excepto la hembra de B. longipes). En el Parque Nacional de Monte Alén se han encontrado ocho especies; solamente faltan de allí dos selencinos, aparentemente costeros.