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1.
Ecol Evol ; 14(4): e11076, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38628914

RESUMO

Mountainous grasslands in South America, characterized by their high diversity, provide a wide range of contributions to people, including water regulation, soil erosion prevention, livestock feed provision, and preservation of cultural heritage. Prior research has highlighted the significant role of grazing in shaping the diversity and productivity of grassland ecosystems, especially in highly productive, eutrophic systems. In such environments, grazing has been demonstrated to restore grassland plant diversity by reducing primary productivity. However, it remains unclear whether these findings are applicable to South American mountainous grasslands, where plants are adapted to different environmental conditions. To address this uncertainty, we conducted a meta-analysis of experiments excluding livestock grazing to assess its impact on plant diversity and productivity across mountainous grasslands in South America. In alignment with studies in temperate grasslands, our findings indicated that herbivore exclusion resulted in increased aboveground biomass but reduced species richness and Shannon diversity. The effects of grazing exclusion became more pronounced with longer durations of exclusion; nevertheless, they remained resilient to various climatic conditions, including mean annual precipitation and mean annual temperature, as well as the evolutionary history of grazing. In contrast to results observed in temperate grasslands, the reduction in species richness due to herbivore exclusion was not associated with increased aboveground biomass. This suggests that the processes governing (sub)tropical grassland plant diversity may differ from those in temperate grasslands. Consequently, further research is necessary to better understand the specific factors influencing plant diversity and productivity in South American montane grasslands and to elucidate the ecological implications of herbivore exclusion in these unique ecosystems.

2.
Nature ; 628(8008): 563-568, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38600379

RESUMO

More than a quarter of the world's tropical forests are exploited for timber1. Logging impacts biodiversity in these ecosystems, primarily through the creation of forest roads that facilitate hunting for wildlife over extensive areas. Forest management certification schemes such as the Forest Stewardship Council (FSC) are expected to mitigate impacts on biodiversity, but so far very little is known about the effectiveness of FSC certification because of research design challenges, predominantly limited sample sizes2,3. Here we provide this evidence by using 1.3 million camera-trap photos of 55 mammal species in 14 logging concessions in western equatorial Africa. We observed higher mammal encounter rates in FSC-certified than in non-FSC logging concessions. The effect was most pronounced for species weighing more than 10 kg and for species of high conservation priority such as the critically endangered forest elephant and western lowland gorilla. Across the whole mammal community, non-FSC concessions contained proportionally more rodents and other small species than did FSC-certified concessions. The first priority for species protection should be to maintain unlogged forests with effective law enforcement, but for logged forests our findings provide convincing data that FSC-certified forest management is less damaging to the mammal community than is non-FSC forest management. This study provides strong evidence that FSC-certified forest management or equivalently stringent requirements and controlling mechanisms should become the norm for timber extraction to avoid half-empty forests dominated by rodents and other small species.


Assuntos
Certificação , Agricultura Florestal , Florestas , Mamíferos , Animais , África Ocidental , Biodiversidade , Peso Corporal , Conservação dos Recursos Naturais/legislação & jurisprudência , Conservação dos Recursos Naturais/métodos , Elefantes , Agricultura Florestal/legislação & jurisprudência , Agricultura Florestal/métodos , Agricultura Florestal/normas , Gorilla gorilla , Mamíferos/anatomia & histologia , Mamíferos/classificação , Mamíferos/fisiologia , Fotografação , Roedores , Masculino , Feminino
3.
N Z Vet J ; 72(2): 103-111, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-37752889

RESUMO

CASE HISTORY: Two clusters of mortality among endangered tuturuatu/tchuriwat'/shore plover (Thinornis novaeseelandiae) have occurred at captive breeding facilities around New Zealand in recent years. In the first, four chicks died at Pukaha National Wildlife Centre (Mount Bruce, NZ) in February 2016, and in the second five adult birds at the Cape Sanctuary (Cape Kidnappers, NZ) died in 2022. CLINICAL FINDINGS: In 2016, four chicks were noted to become weak, have increased vocalisations and closed eyes prior to death. The remaining chicks were treated for 5 days with amoxycillin/clavulanate orally twice daily. Water containers and brooders were cleaned and disinfected with chlorhexidine. No further mortality was seen.In the 2022 cluster, three adult breeding birds died acutely and five others showed inappetence, weight loss and diarrhoea approximately 10 days after heavy rains flooded the local river. The five birds were treated with amoxycillin/clavulanate orally twice daily and oral fluids for 5 days. Two birds died and three survived. No breeding occurred in the aviaries in the following season. PATHOLOGICAL FINDINGS: In 2016, the chicks showed pulmonary changes ranging from congestion and oedema to heterophilic inflammation consistent with septicaemia.In 2022, the adult birds showed proliferation of bacteria in the distal small intestine associated with mucosal ulceration and heterophilic infiltration. Acid-fast staining of the caecal contents in one bird showed organisms consistent with Cryptosporidium spp. LABORATORY FINDINGS: Aerobic bacterial cultures of the lung and liver of two affected chicks carried out in 2016 showed heavy growth of Plesiomonas shigelloides. The same organism was cultured from water trays and holding tanks containing water boatmen (Sigara arguta) on which the chicks were fed.In 2022, cultures from the livers of three dead birds each showed a mixed bacterial growth with differing dominant organisms (Aeromonas sobria, Hafnia alvei, Citrobacter freundii and an Enterococcus sp.). PCR and sequencing confirmed Cryptosporidium parvum in the caecum of one bird. Fresh faeces from 24 breeding birds from the captive breeding facilities were negative by PCR for Cryptosporidium spp.The captive breeding facilities obtain water for the aviaries and aquatic invertebrates to feed to the chicks from local freshwater sources. Water quality testing at the Cape Sanctuary revealed concentrations of faecal indicator bacteria in excess of safe drinking water guidelines, with peaks following heavy rainfall. CLINICAL RELEVANCE: Fluctuations in water quality associated with mammalian faecal bacteria can adversely affect bird health and impact on captive rearing of endangered wildlife.


Assuntos
Criptosporidiose , Cryptosporidium , Animais , Qualidade da Água , Nova Zelândia , Galinhas , Amoxicilina , Ácido Clavulânico , Mamíferos
4.
Rev Esp Anestesiol Reanim (Engl Ed) ; 69(5): 259-265, 2022 05.
Artigo em Inglês | MEDLINE | ID: mdl-35643760

RESUMO

INTRODUCTION: Lateral thoracotomy is replacing traditional median sternotomy for atrial septal defect (ASD) closure in children in order to improve cosmetic outcomes. Continuous paravertebral block has been described as an effective and safe analgesic technique in children. The aim of this study is to assess pain management by continuous perfusion of local anesthetic through a thoracic paravertebral catheter (PVC) in a pediatric population after thoracotomy closure of ASD, and its effectiveness in a fast-track program. METHODS: Descriptive cross-sectional study. Analgesic effectiveness, perioperative and safety-related data were analyzed in 21 patients who underwent thoracotomy closure of ASD with PVC. In the postoperative period, patients received continuous perfusion of bupivacaine 0.125% and fentanyl (1 mcg.ml-1) at 0.2 ml.kg-1.h-1 through the PVC. RESULTS: The median of mean pain scale score for each patient was 1.5. All patients were extubated in the operating theatre. No patient with PVC required opioid rescue. The median length of stay in the Pediatric Intensive Care Unit was 48 hours. There were 3 adverse events related to PVC: 1 due to malposition and 2 due to accidental removal. No other complications or cases of local anesthetic toxicity were recorded. CONCLUSIONS: PVC provides effective, safe, opioid-saving analgesia in the postoperative period of ASD closure by thoracotomy in the context of a fast-track protocol.


Assuntos
Analgesia , Comunicação Interatrial , Criança , Humanos , Analgesia/métodos , Analgésicos , Analgésicos Opioides/uso terapêutico , Anestésicos Locais , Estudos Transversais , Comunicação Interatrial/cirurgia , Manejo da Dor , Dor Pós-Operatória/tratamento farmacológico
5.
Sci Rep ; 12(1): 5960, 2022 04 08.
Artigo em Inglês | MEDLINE | ID: mdl-35395860

RESUMO

Despite increasing attention for relationships between species richness and ecosystem services, for tropical forests such relationships are still under discussion. Contradicting relationships have been reported concerning carbon stock, while little is known about relationships concerning timber stock and the abundance of non-timber forest product producing plant species (NTFP abundance). Using 151 1-ha plots, we related tree and arborescent palm species richness to carbon stock, timber stock and NTFP abundance across the Guiana Shield, and using 283 1-ha plots, to carbon stock across all of Amazonia. We analysed how environmental heterogeneity influenced these relationships, assessing differences across and within multiple forest types, biogeographic regions and subregions. Species richness showed significant relationships with all three ecosystem services, but relationships differed between forest types and among biogeographical strata. We found that species richness was positively associated to carbon stock in all biogeographical strata. This association became obscured by variation across biogeographical regions at the scale of Amazonia, resembling a Simpson's paradox. By contrast, species richness was weakly or not significantly related to timber stock and NTFP abundance, suggesting that species richness is not a good predictor for these ecosystem services. Our findings illustrate the importance of environmental stratification in analysing biodiversity-ecosystem services relationships.


Assuntos
Ecossistema , Florestas , Biodiversidade , Carbono , Árvores
6.
Sci Rep ; 11(1): 21410, 2021 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-34725382

RESUMO

Stopping droplets from bouncing or splashing after impacting a surface is fundamental in preventing cross-contamination, and the spreading of germs and harmful substances. Here we demonstrate that dielectrowetting can be applied to actively control the dynamics of droplet impact. Moreover, we demonstrate that dielectrowetting can be used to prevent droplet bouncing and suppress splashing. In our experiments, the dielectrowetting effect is produced on a flat substrate by two thin interdigitated electrodes connected to an alternating current potential. Our findings show that the strength of the electric potential can affect the dynamic contact angle and regulate the spreading, splashing and receding dynamics at the right time-scales.

7.
Parasitology ; 148(11): 1288-1292, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34120663

RESUMO

Coronavirus disease-2019 (Covid-19) nonpharmaceutical interventions have proven effective control measures for a range of respiratory illnesses throughout the world. These measures, which include isolation, stringent border controls, physical distancing and improved hygiene also have effects on other human pathogens, including parasitic enteric diseases such as cryptosporidiosis. Cryptosporidium infections in humans are almost entirely caused by two species: C. hominis, which is primarily transmitted from human to human, and Cryptosporidium parvum, which is mainly zoonotic. By monitoring Cryptosporidium species and subtype families in human cases of cryptosporidiosis before and after the introduction of Covid-19 control measures in New Zealand, we found C. hominis was completely absent after the first months of 2020 and has remained so until the beginning of 2021. Nevertheless, C. parvum has followed its typical transmission pattern and continues to be widely reported. We conclude that ~7 weeks of isolation during level 3 and 4 lockdown period interrupted the human to human transmission of C. hominis leaving only the primarily zoonotic transmission pathway used by C. parvum. Secondary anthroponotic transmission of C. parvum remains possible among close contacts of zoonotic cases. Ongoing 14-day quarantine measures for new arrivals to New Zealand have likely suppressed new incursions of C. hominis from overseas. Our findings suggest that C. hominis may be controlled or even eradicated through nonpharmaceutical interventions.


Assuntos
COVID-19/prevenção & controle , Criptosporidiose/parasitologia , Cryptosporidium/classificação , SARS-CoV-2 , Zoonoses/parasitologia , Animais , Criptosporidiose/epidemiologia , Fezes/parasitologia , Humanos , Nova Zelândia/epidemiologia , Zoonoses/epidemiologia
8.
Sci Total Environ ; 771: 144647, 2021 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-33736177

RESUMO

Humid tropical forests are increasingly exposed to devastating wildfires. Major efforts are needed to prevent fire-related tipping points and to enable the effective recovery of fire-affected areas. Here, we provide a synthesis of the most common forest restoration strategies, thereby focusing on post-fire forest dynamics in the humid tropics. A variety of restoration strategies can be adopted in restoring humid tropical forests, including natural regeneration, assisted natural regeneration (i.e. fire breaks, weed control, erosion control, topsoil replacement, peatland rewetting), enrichment planting (i.e. planting nursery-raised seedlings, direct seeding) and commercial restoration (i.e. plantation forests, agroforestry). Our analysis shows that while natural regeneration can be effective under favourable ecological conditions, humid tropical forests are often ill-adapted to fire, and therefore less likely to recover unassisted after a wildfire event. Active restoration practices may be more effective, but can be costly and challenging to implement. We also identify gaps in knowledge needed for effective restoration of humid tropical forests after fire, hereby taking into account the ecosystems and socio-economic conditions in which these fires occur. We suggest to incorporate fire severity in future studies, to better understand and predict post-fire ecosystem responses. In addition, as fire poses a recurring and intensifying threat throughout the recovery process, more emphasis should be placed on post-restoration management and the prevention of fire throughout the different phases of the restoration process. Furthermore, as tropical wildfires are increasing in scale, establishing collaborative capacity and setting priorities for efficient resource allocation should become a major priority for restoration practitioners in the humid tropics. Finally, as global fire regimes are changing and expected to intensify in the context of climate change, land use and land cover change, we suggest to put continuous effort into fire monitoring and modelling to inform the development of effective restoration strategies in the long-run.


Assuntos
Incêndios , Incêndios Florestais , Mudança Climática , Ecossistema , Florestas , Árvores
10.
Phys Rev E ; 100(5-1): 053111, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31869957

RESUMO

A temporal analysis of the evolution of Gaussian wave packets in cylindrical capillary jets is presented through both a linear two-mode formulation and a one-dimensional nonlinear numerical scheme. These analyses are normally applicable to arbitrary initial conditions but our study focuses on pure-impulsive ones. Linear and nonlinear findings give consistent results in the stages for which the linear theory is valid. The inverse Fourier transforms representing the formal linear solution for the jet shape is both numerically evaluated and approximated by closed formulas. After a transient, these formulas predict an almost Gaussian-shape deformation with (i) a progressive drift of the carrier wave number to that given by the maximum of the Rayleigh dispersion relation, (ii) a progressive increase of its bell width, and (iii) a quasiexponential growth of its amplitude. These parameters agree with those extracted from the fittings of Gaussian wave packets to the numerical simulations. Experimental results are also reported on near-Gaussian pulses perturbing the exit velocity of a 2-mm diameter water jet. The possibility of controlling the breakup location along the jet and other features, such as pinch-off simultaneity, are demonstrated.

11.
Rev Sci Instrum ; 90(9): 095109, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31575257

RESUMO

A reliable, simple, and affordable liquid tensiometer is presented in this paper. The instrument consists of 72 ultrasonic transmitters in a tractor beam configuration that levitates small liquid samples (droplets) in air. Under operation, the instrument imparts a pressure instability that causes the droplet to vibrate while still levitating. Droplet oscillations are then detected by a photodiode, and the signal is recorded by an oscilloscope. The frequency of these oscillations is obtained and then used to obtain the effective surface tension of the sample. The instrument operates at the millisecond scale time (t < 12.5 ms), with very small liquid volumes (∼0.5 µl), and the sample is recoverable after testing. The instrument has been experimentally validated with acetone, ethanol, Fluorinert FC-40, water, and whole milk.

12.
J Environ Manage ; 242: 496-506, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31075644

RESUMO

Smallholder farmers might adopt different farming practices to cope with multiple stressors depending on their livelihood assets, and with varying environmental and economic outcomes. Ongoing global change is triggering stronger and different stressors that threaten conventional farming practices; however, this could be resolved if livelihood assets that drive decision making are actionable and thus can be modified. This study assessed the influence of farmers' livelihood assets, risk perception, and shocks on the choice of non-conventional farming practices for smallholder coffee farmers in San Martín, Peru. Using household survey data, we collected data on 162 coffee plantations along an elevation gradient. We operationalized the sustainable livelihoods framework for the adoption of shade and input coffee farming strategies and explored farmers' motives to change them. Despite associated high risks with pest and disease pressure, coffee price volatility and climate change, these risks did not explain the current shade and input farming strategies. While in the past five years, farmers adapted shade and input management in response to pest and disease and climate change pressures, these occurred in diverging directions: we found higher human and social assets associated with higher shade levels, and a trend for higher physical and financial assets associated with higher input use. These findings illustrate that two main factors affect decisions on farming practices related to shade and input management and they relate to different livelihood capitals. This suggests a potential for conflicting decision-making, push-and-pulling decisions in different directions. Further the disconnect between livelihood assets and perceptions suggests that perception of risk and shocks might not be sufficient to motivate decision making under changing conditions. Such insights in decision-making typologies and drivers can inform the development of farming practices that enhance resilience and sustainability of smallholder coffee production in Peru and elsewhere in the tropics.


Assuntos
Agricultura , Café , Fazendeiros , Fazendas , Humanos , Peru
13.
Ann Oncol ; 28(10): 2559-2566, 2017 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-28961837

RESUMO

BACKGROUND: Lurbinectedin (PM01183) has synergistic antitumor activity when combined with doxorubicin in mice with xenografted tumors. This phase I trial determined the recommended dose (RD) of doxorubicin (bolus) and PM01183 (1-h intravenous infusion) on day 1 every 3 weeks (q3wk), and obtained preliminary evidence of antitumor activity for this combination in small-cell lung cancer (SCLC). PATIENTS AND METHODS: Patients with advanced solid tumors received doxorubicin and PM01183 following a standard dose escalation design and expansion at the RD. Twenty-seven patients had relapsed SCLC: 12 with sensitive disease (platinum-free interval ≥90 days) and 15 with resistant disease (platinum-free interval <90 days). RESULTS: Doxorubicin 50 mg/m2 and PM01183 4.0 mg flat dose was the RD. In relapsed SCLC, treatment tolerance at the RD was manageable. Transient and reversible myelosuppression (including neutropenia, thrombocytopenia, and febrile neutropenia) was the main toxicity, managed with dose adjustment and colony-stimulating factors. Fatigue (79%), nausea/vomiting (58%), decreased appetite (53%), mucositis (53%), alopecia (42%), diarrhea/constipation (42%), and asymptomatic creatinine (68%) and transaminase increases (alanine aminotransferase 42%; aspartate aminotransferase 32%) were common, and mostly mild or moderate. Complete (n = 2, 8%) and partial response (n = 13, 50%) occurred in relapsed SCLC, mostly at the RD. Response rates at second line were 91.7% in sensitive disease [median progression-free survival (PFS)=5.8 months] and 33.3% in resistant disease (median PFS = 3.5 months). At third line, response rate was 20.0% (median PFS = 1.2 months), all in resistant disease. CONCLUSION: Doxorubicin 50 mg/m2 and PM01183 4.0 mg flat dose on day 1 q3wk has shown remarkable activity, mainly in second line, with manageable tolerance in relapsed SCLC, leading to further evaluation of this combination within an ongoing phase III trial.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Recidiva Local de Neoplasia/tratamento farmacológico , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Carbolinas/administração & dosagem , Carbolinas/efeitos adversos , Relação Dose-Resposta a Droga , Doxorrubicina/administração & dosagem , Doxorrubicina/efeitos adversos , Feminino , Compostos Heterocíclicos de 4 ou mais Anéis/administração & dosagem , Compostos Heterocíclicos de 4 ou mais Anéis/efeitos adversos , Humanos , Masculino , Pessoa de Meia-Idade
14.
Chaos ; 27(12): 127001, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29289032

RESUMO

A series of laboratory experiments in a thermally driven, rotating fluid annulus are presented that investigate the onset and characteristics of phase synchronization and frequency entrainment between the intrinsic, chaotic, oscillatory amplitude modulation of travelling baroclinic waves and a periodic modulation of the (axisymmetric) thermal boundary conditions, subject to time-dependent coupling. The time-dependence is in the form of a prescribed duty cycle in which the periodic forcing of the boundary conditions is applied for only a fraction δ of each oscillation. For the rest of the oscillation, the boundary conditions are held fixed. Two profiles of forcing were investigated that capture different parts of the sinusoidal variation and δ was varied over the range 0.1≤δ≤1. Reducing δ was found to act in a similar way to a reduction in a constant coupling coefficient in reducing the width of the interval in forcing frequency or period over which complete synchronization was observed (the "Arnol'd tongue") with respect to the detuning, although for the strongest pulse-like forcing profile some degree of synchronization was discernible even at δ=0.1. Complete phase synchronization was obtained within the Arnol'd tongue itself, although the strength of the amplitude modulation of the baroclinic wave was not significantly affected. These experiments demonstrate a possible mechanism for intraseasonal and/or interannual "teleconnections" within the climate system of the Earth and other planets that does not rely on Rossby wave propagation across the planet along great circles.

15.
Rev Sci Instrum ; 86(11): 115101, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26628166

RESUMO

In this paper, a novel mechanism allowing greater control over the formation of droplets is presented. This is achieved via the use of a dynamic nozzle of adjustable diameter. It is demonstrated that, by using such a nozzle, it is possible to greatly modify the formation and breakup of the ligament behind the main drop, leading to an overall reduction in the number of satellite droplets. Furthermore, by adjusting the delay between the beginning of the forming of the drop and the start of the nozzle constriction, a greater control over both the number of satellites and the size of the main drop can be achieved. It is also shown that only a minimal reduction of the nozzle's effective diameter is required in order to exploit the positive effects of the technique presented here. This opens the possibility of incorporating the technique into current droplet generator systems, e.g., via the use of piezoelectric driven nozzles or other micro-mechanical actuation technology.

16.
Ann Oncol ; 26(5): 914-920, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25722380

RESUMO

BACKGROUND: We investigated the association of BRCA1 and XPG mutations with response rate (RR), progression-free survival (PFS) and overall survival (OS) in a subset of patients from a phase 3 clinical trial comparing the efficacy and safety of trabectedin + pegylated liposomal doxorubicin (PLD) versus PLD alone in patients with recurrent ovarian cancer. PATIENTS AND METHODS: A candidate array was designed based on the Breast Cancer Information Core database for BRCA mutation analyses. An exploratory analysis of BRCA1/XPG mutation status was conducted using a two-sided log-rank test and 0.05 significance in germline DNA samples from 264 women with failed first-line platinum-based chemotherapy, randomized (1 : 1) to trabectedin + PLD or PLD alone. RESULTS: Overall, 41 (16%) of the 264 women had BRCA1(mut) (trabectedin + PLD: n = 24/135, 18%; PLD: n = 17/129; 13%) and 17 (6%) had XPG(mut) (trabectedin + PLD: n = 8/135, 6%; PLD: n = 9/129, 7%). A higher RR was observed in BRCA1(mut) patients (20/41; 49%) versus BRCA1(wt) patients (62/223; 28%). Within the BRCA1(mut) group, trabectedin + PLD-treated patients had longer PFS and longer OS than PLD-treated patients (median PFS 13.5 versus 5.5 months, P = 0.0002; median OS 23.8 versus 12.5 months, P = 0.0086), whereas in BRCA1(wt) patients, OS was not significantly different (median OS: 19.1 versus 19.3 months; P = 0.9377). There were no differences in OS or PFS of patients with XPG(mut) between the two treatment arms. However, trabectedin + PLD-treated patients with XPG(mut) had a trend toward shorter PFS (median PFS: 1.9 versus 7.5 months; P = 0.1666) and OS (median OS: 14.5 versus 20.7 months; P = 0.1774) than those with XPG(wt). CONCLUSIONS: In this exploratory analysis, patients with recurrent ovarian cancer carrying the BRCA1(mut) had improved outcomes with trabectedin + PLD treatment compared with PLD alone. Prospective evaluation of BRCA status is likely an important evaluation for DNA-damaging agents and may significantly impact interpretation of clinical studies. XPG may be a biomarker of poor outcome in these patients.


Assuntos
Antibióticos Antineoplásicos/uso terapêutico , Antineoplásicos Alquilantes/uso terapêutico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Proteína BRCA1/genética , Proteínas de Ligação a DNA/genética , Dioxóis/uso terapêutico , Doxorrubicina/análogos & derivados , Endonucleases/genética , Mutação , Proteínas Nucleares/genética , Neoplasias Ovarianas/tratamento farmacológico , Tetra-Hidroisoquinolinas/uso terapêutico , Fatores de Transcrição/genética , Idoso , Antibióticos Antineoplásicos/efeitos adversos , Antineoplásicos Alquilantes/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Dioxóis/efeitos adversos , Progressão da Doença , Intervalo Livre de Doença , Doxorrubicina/efeitos adversos , Doxorrubicina/uso terapêutico , Feminino , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Neoplasias Ovarianas/genética , Neoplasias Ovarianas/mortalidade , Neoplasias Ovarianas/patologia , Farmacogenética , Polietilenoglicóis/efeitos adversos , Polietilenoglicóis/uso terapêutico , Tetra-Hidroisoquinolinas/efeitos adversos , Fatores de Tempo , Trabectedina , Resultado do Tratamento
18.
Clin Transl Oncol ; 17(5): 339-57, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25480118

RESUMO

Prostate cancer is the most common male malignancy in the Western world. Once it metastasizes, it is incurable. The current gold standard for metastatic disease is the combined docetaxel/prednisone regimen. Prostate cancer shows several characteristics that make it a suitable candidate for immunotherapy, as recently exemplified by the approval of sipuleucel-T, the first vaccine to treat any malignancy. Here, we review different tumor-associated antigen immunotherapy strategies currently being investigated, from a humanized radiolabeled monoclonal antibody (J-591) that targets radiation into tumor cells, moving on to vaccines and through to immunomodulator agents such as anti-CPLA-4 and anti-PD-1 monoclonal antibodies that activate T-cell responses via immune checkpoint inhibition. We explore different opinions on the best approach to integrate immunotherapy into existing standard therapies, such as androgen-deprivation therapy, radiotherapy or chemotherapy, and review different combination sequences, patient types and time points during the course of the disease to achieve a lasting immune response. We present data from recent phase III clinical trials that call for a change in trial endpoint design with immunotherapy agents, from the traditional tumor progression to overall survival and how such trials should include immune response measurements as secondary or intermediate endpoints to help identify patient clinical benefit in the earlier phases of treatment. Finally, we join in the recent questioning on the validity of RECIST criteria to measure response to immunotherapeutic agents, as initial increases in the size of tumors/lymph nodes, which are part of a normal immune response, could be categorized as disease progression under RECIST.


Assuntos
Antineoplásicos/uso terapêutico , Vacinas Anticâncer/uso terapêutico , Terapia Combinada , Imunoterapia , Neoplasias da Próstata/terapia , Anticorpos Monoclonais/uso terapêutico , Antígeno CTLA-4/imunologia , Humanos , Imunomodulação , Masculino , Receptor de Morte Celular Programada 1/imunologia , Neoplasias da Próstata/imunologia , Neoplasias da Próstata/patologia , Neoplasias de Próstata Resistentes à Castração/patologia , Neoplasias de Próstata Resistentes à Castração/terapia , Critérios de Avaliação de Resposta em Tumores Sólidos
19.
Carbon Balance Manag ; 9(1): 8, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25264455

RESUMO

BACKGROUND: Land use and land cover change occurring in tropical forest landscapes contributes substantially to carbon emissions. Better insights into the spatial variation of aboveground biomass is therefore needed. By means of multiple statistical tests, including geographically weighted regression, we analysed the effects of eight variables on the regional spatial variation of aboveground biomass. North and East Kalimantan were selected as the case study region; the third largest carbon emitting Indonesian provinces. RESULTS: Strong positive relationships were found between aboveground biomass and the tested variables; altitude, slope, land allocation zoning, soil type, and distance to the nearest fire, road, river and city. Furthermore, the results suggest that the regional spatial variation of aboveground biomass can be largely attributed to altitude, distance to nearest fire and land allocation zoning. CONCLUSIONS: Our study showed that in this landscape, aboveground biomass could not be explained by one single variable; the variables were interrelated, with altitude as the dominant variable. Spatial analyses should therefore integrate a variety of biophysical and anthropogenic variables to provide a better understanding of spatial variation in aboveground biomass. Efforts to minimise carbon emissions should incorporate the identified factors, by 1) the maintenance of lands with high AGB or carbon stocks, namely in the identified zones at the higher altitudes; and 2) regeneration or sustainable utilisation of lands with low AGB or carbon stocks, dependent on the regeneration capacity of the vegetation. Low aboveground biomass densities can be found in the lowlands in burned areas, and in non-forest zones and production forests.

20.
Artigo em Inglês | MEDLINE | ID: mdl-24032939

RESUMO

The coalescence and mixing of a sessile and an impacting liquid droplet on a solid surface are studied experimentally and numerically in terms of lateral separation and droplet speed. Two droplet generators are used to produce differently colored droplets. Two high-speed imaging systems are used to investigate the impact and coalescence of the droplets in color from a side view with a simultaneous gray-scale view from below. Millimeter-sized droplets were used with dynamical conditions, based on the Reynolds and Weber numbers, relevant to microfluidics and commercial inkjet printing. Experimental measurements of advancing and receding static contact angles are used to calibrate a contact angle hysteresis model within a lattice Boltzmann framework, which is shown to capture the observed dynamics qualitatively and the final droplet configuration quantitatively. Our results show that no detectable mixing occurs during impact and coalescence of similar-sized droplets, but when the sessile droplet is sufficiently larger than the impacting droplet vortex ring generation can be observed. Finally we show how a gradient of wettability on the substrate can potentially enhance mixing.

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