Atomistic Description of Interdroplet Ice-Bridge Formation during Condensation Frosting.

The propagation of frost in an assembly of supercooled dew droplets takes place by the formation of ice protrusions that bridge ice particles and still-liquid droplets. In this work, we develop a Kinetic Monte Carlo (KMC) model to study the formation kinetics of the ice protrusions. The KMC simulations reproduce well the experimental results reported in the literature. The elongation speed of the ice protrusions does not depend on the droplet size but increases when the interdroplet distance decreases, the temperature increases, or the substrate wettability increases. While 2D diffusion of the water molecules on the substrate surface is sufficient to explain the process kinetics, high 3D (vapor) water-molecule concentration can lead to the development of 3D lateral branches on the ice protrusions. A 1D analytical model based on the water-molecule concentration gradient between a droplet and a nearby ice particle reproduces well the simulation results and highlights the relation between the protrusion elongation kinetics and parameters like the interdroplet distance, the water diffusivity, and the concentration gradient. The bridge-formation time has a quadratic dependence on the droplet-ice distance. Comparing the simulations, the analytical model, and the experimental results of the literature, we conclude that the propagation of frost on a flat substrate in an assembly of supercooled dew droplets with interdroplet spacing larger than about 1 µm is limited by water-molecule diffusivity.

Dynamics of Frost Propagation on Breath Figures.

We investigate the process of condensation frosting on flat surfaces using thermal imaging microscopy. This method is particularly well-suited to characterize the frosting of polydisperse assemblies of dew droplets, also called breath figures, that transform into ice droplets by the propagation of frost fronts. The front propagation speed is found to be a nonmonotonous function of the characteristic droplet size of the breath figure. In our experimental conditions, the propagation speed is maximum around 70 µm s-1 for a characteristic droplet radius of around 300 µm. We mainly show that the frost propagation speed is governed by the competition between two characteristic time scales. The first one is the freezing time of individual droplets, and the other one is the formation time of interdroplet ice bridges that grow from frozen to liquid droplets. In addition, the experiments reveal that the mean ice bridge speed is constant regardless of the characteristic radius of the liquid droplets in the breath figure. A theoretical mean-field analysis without any adjustable parameters recovers all of the features of the front propagation observed in experiments.

Distribution of microcrack surface density in the human otic capsule.

BACKGROUND: The bony otic capsule is comprised of highly mineralized and dense compact bone. It is rarely remodelled and degenerative changes, therefore, accumulate around the inner ear. It is also a predilection site for the pathological remodelling seen in otosclerosis. Morphometric studies have documented increased numbers of dead osteocytes and microcracks in the human otic capsule. Microcracks may disrupt the lacuno-canalicular network and cause osteocyte apoptosis ultimately breaking up the perilabyrinthine bone signalling pathways and dynamics. This may be important to understand the pathogenesis of remodelling diseases like otosclerosis. AIMS/OBJECTIVES: This study describes the spatial and regional distribution of microcrack surface density in relation to the inner ear and compares it to that previously recorded for otosclerosis. MATERIAL AND METHODS: Forty-two temporal bones and five ribs were used. All samples were undecalcified, bulk stained in basic fuchsin and plastic embedded. Unbiased stereology was used to estimate the true surface density of microcracks (mm2/mm3) in perilabyrinthine bone. RESULTS: The surface density of microcracks accumulates around the inner ear spaces, particularly in the lateral window regions, and increases with age. CONCLUSIONS AND SIGNIFICANCE: This study documents the spatial and temporal association between microfractures and otosclerosis in the otic capsule.

Microcrack surface density in the human otic capsule: An unbiased stereological quantification.

Bone is continuously remodeled to repair and strengthen degenerative bone with accumulating dead osteocytes and microfractures. Inner ear osteoprotegerin (OPG)-mediated inhibition of otic capsular bone remodeling causes excessive perilabyrinthine bone degeneration. Consequently, microcracks accumulate around the inner ear. Microcracks cause osteocyte apoptosis and may disrupt the canalicular network connecting osteocytes. Despite their linear microscopic appearance, microcracks are three-dimensional disruption planes and represent surface areas inside a tissue space. With an elevated microcrack burden the number of disconnected osteocytes is expected to increase. This may prove relevant to ongoing research in otic focal pathologies like otosclerosis. Therefore, an unbiased quantification of the microcrack surface density (mm2 /mm3 ) in the human otic capsule is essential. In this study unbiased stereology was applied to undecalcified bulk stained human temporal bones to demonstrate its feasibility in describing the three-dimensional reality behind two dimensional observations of microcracks. A total of 28 human temporal bones and five ribs were bulk stained in basic fuchsin, serially sectioned and hand-ground to a thickness of 80-120 µm. Both horizontal and vertical sections were produced and compared. This study showed that surface density of microcracks was significantly higher around the inner ear compared to ribs. Furthermore, no significant difference in microcrack surface density between horizontal and vertical sections in the temporal bone was demonstrated.

The Copenhagen Oral Cavity Squamous Cell Carcinoma database: protocol and report on establishing a comprehensive oral cavity cancer database.

OBJECTIVE: The aim was to establish a large comprehensive database of patients with oral cavity squamous cell carcinoma (OSCC) to enable surveillance and research of the disease. METHODS: All patients diagnosed and/or treated for OSCC at Rigshospitalet, University of Copenhagen, Denmark in the period 2000-2014 were included. Rigshospitalet is a tertiary treatment center and covers the Eastern Denmark region, comprising nearly half of the approximately 5.8 million inhabitants of Denmark. Data on numerous variables regarding general information of the patients at diagnosis, their primary cancer, recurrence, treatment, prior cancers, and secondary cancers were collected from the Danish Pathology Register and by evaluation of medical charts. RESULTS: One thousand three hundred and ninety-nine OSCC patients were included in the database (62% males). The median age at diagnosis was 63 years (range: 23-99 years). The most common anatomical location was the floor of mouth (38%). Among patients with known stage, 70.0% were diagnosed in T-stage 1 or 2 and 64.9% were diagnosed in N-stage 0. Most patients were treated with primary surgery (81.7% among patients with known treatment), of these 44% received adjuvant radiotherapy after surgery. The overall age-standardized incidence of OSCC per 100,000 increased from 2.15 in 2000 to 3.04 in 2014, with a significant annual percent change of 3.2%. CONCLUSION: We have established a consecutive, population-based database of 1,399 OSCC patients. This creates a basis for multiple studies that will elaborate our understanding of OSCC, and hopefully improve diagnosis, treatment, and rehabilitation of OSCC patients.

Equilibrium and dynamics of strained islands.

We focus in this work on the effect of the surface energy anisotropy on an elastically strained semiconductor film and in particular on its role on the coarsening dynamics of elastically strained islands. To study the dynamics of a strained film, we establish a one-dimensional nonlinear and nonlocal partial differential equation which takes into account the elastic, capillary, wetting, and anisotropic effects. We first construct an approximate stationary solution of our model using a variational method and an appropriate ansatz. This stationary solution is used to compute the chemical potential dependence on the island height. In particular, we find that the surface energy anisotropy increases the convexity of the chemical potential and this is shown to have an effect on the driving force for the coarsening. Second, we study the coarsening dynamics of an islands pair by means of numerical simulations. We find that the presence of the surface energy anisotropy may increase or decrease the coarsening time of the system. We show that this phenomenon depends on the initial heights of island pairs. We thus highlight that the driving force for the coarsening is due to the variation of the chemical potential with respect to the islands height and that two different regimes are possible.

Antibody-Mediated Neutralization of uPA Proteolytic Function Reduces Disease Progression in Mouse Arthritis Models.

Genetic absence of the urokinase-type plasminogen activator (uPA) reduces arthritis progression in the collagen-induced arthritis (CIA) mouse model to an extent just shy of disease abrogation, but this remarkable observation has not been translated into therapeutic intervention. Our aim was to test the potential in mice of an Ab that blocks the proteolytic capacity of uPA in the CIA model and the delayed-type hypersensitivity arthritis model. A second aim was to determine the cellular origins of uPA and the uPA receptor (uPAR) in joint tissue from patients with rheumatoid arthritis. A mAb that neutralizes mouse uPA significantly reduced arthritis progression in the CIA and delayed-type hypersensitivity arthritis models. In the CIA model, the impact of anti-uPA treatment was on par with the effect of blocking TNF-α by etanercept. A pharmacokinetics evaluation of the therapeutic Ab revealed target-mediated drug disposition consistent with a high turnover of endogenous uPA. The cellular expression patterns of uPA and uPAR were characterized by double immunofluorescence in the inflamed synovium from patients with rheumatoid arthritis and compared with synovium from healthy donors. The arthritic synovium showed expression of uPA and uPAR in neutrophils, macrophages, and a fraction of endothelial cells, whereas there was little or no expression in synovium from healthy donors. The data from animal models and human material provide preclinical proof-of-principle that validates uPA as a novel therapeutic target in rheumatic diseases.

Versatility of the facial artery myomucosal island flap in neopharyngeal reconstruction.

BACKGROUND: The facial artery myomucosal (FAMM) island flap is a cheek flap, pedicled on the facial artery and suitable for small to medium-sized reconstructions of the oral cavity and neighboring areas. A novel transposition of the flap to the hypopharynx after laryngectomy is presented in this report. METHODS: A 58-year-old man, previously irradiated, was laryngopharyngectomized because of a new supraglottic carcinoma. An unexpected need for a flap was solved by tunneling a FAMM island flap lateral to the mandible. The reach and size of the flap were sufficient to close the defect. RESULTS: Vitality of the flap was ascertained by fiber endoscopy. No donor-site morbidity was seen. Postoperatively, the patient had a minor stomal fistula with spontaneous healing. CONCLUSION: The pedicled FAMM island flap may be considered for smaller reconstructions of the upper hypopharynx. Accessibility, low donor-site morbidity, and recipient tissue similarity count among the advantages. © 2016 Wiley Periodicals, Inc. Head Neck 39: E29-E33, 2017.

Shape and coarsening dynamics of strained islands.

We investigate the formation and the coarsening dynamics of islands in a strained epitaxial semiconductor film. These islands are commonly observed in thin films undergoing a morphological instability due to the presence of the elastocapillary effect. We first describe both analytically and numerically the formation of an equilibrium island using a two-dimensional continuous model. We have found that these equilibrium island-like solutions have a maximum height h_{0} and they sit on top of a flat wetting layer with a thickness h_{w}. We then consider two islands, and we report that they undergo a noninterrupted coarsening that follows a two stage dynamics. The first stage may be depicted by a quasistatic dynamics, where the mass transfers are proportional to the chemical potential difference of the islands. It is associated with a time scale t_{c} that is a function of the distance d between the islands and leads to the shrinkage of the smallest island. Once its height becomes smaller than a minimal equilibrium height h_{0}^{*}, its mass spreads over the entire system. Our results pave the way for a future analysis of coarsening of an assembly of islands.

Phthalates Are Metabolised by Primary Thyroid Cell Cultures but Have Limited Influence on Selected Thyroid Cell Functions In Vitro.

Phthalates are plasticisers added to a wide variety of products, resulting in measurable exposure of humans. They are suspected to disrupt the thyroid axis as epidemiological studies suggest an influence on the peripheral thyroid hormone concentration. The mechanism is still unknown as only few in vitro studies within this area exist. The aim of the present study was to investigate the influence of three phthalate diesters (di-ethyl phthalate, di-n-butyl phthalate (DnBP), di-(2-ethylhexyl) phthalate (DEHP)) and two monoesters (mono-n-butyl phthalate and mono-(2-ethylhexyl) phthalate (MEHP)) on the differentiated function of primary human thyroid cell cultures. Also, the kinetics of phthalate metabolism were investigated. DEHP and its monoester, MEHP, both had an inhibitory influence on 3'-5'-cyclic adenosine monophosphate secretion from the cells, and MEHP also on thyroglobulin (Tg) secretion from the cells. Results of the lactate dehydrogenase-measurements indicated that the MEHP-mediated influence was caused by cell death. No influence on gene expression of thyroid specific genes (Tg, thyroid peroxidase, sodium iodine symporter and thyroid stimulating hormone receptor) by any of the investigated diesters could be demonstrated. All phthalate diesters were metabolised to the respective monoester, however with a fall in efficiency for high concentrations of the larger diesters DnBP and DEHP. In conclusion, human thyroid cells were able to metabolise phthalates but this phthalate-exposure did not appear to substantially influence selected functions of these cells.

Prevalence, size and distribution of microdamage in the human otic capsule.

CONCLUSIONS: Age-dependent microdamage (MDx) accumulates excessively in human perilabyrinthine bone, where the bone turnover is almost absent. This may have pathological implications for bone-specific disorders such as otosclerosis. The role of MDx accumulation is discussed from an osteodynamic perspective. OBJECTIVES: Bone remodelling is highly inhibited within the otic capsule compared with the rest of the skeleton. Consequently excessive accumulation of age-dependent capsular MDx is expected. This study describes the prevalence, size and topographical distribution of MDx in the human otic capsule. METHODS: A total of 241 undecalcified human temporal bones were examined. Bulk staining and the cutting-grinding technique were used to separate in vivo MDx from microcrack artefacts induced post mortem by the milling procedure. Quantitative data were obtained by fluorescence microscopy by counting and measuring and by the use of stereology. RESULTS: Microcracks accumulated continuously and extensively in the human otic capsule throughout life. Both the number and total length of MDx were higher close to the inner ear space as compared with the capsular periphery. The mean length of the MDx remained constant with age. There was no statistically significant sex difference.

Interrupted self-organization of SiGe pyramids.

We investigate the morphological evolution of SiGe quantum dots deposited on Si(100) during long-time annealing. At low strain, the dots' self-organization begins by an instability and interrupts when (105) pyramids form. This evolution and the resulting island density are quantified by molecular-beam epitaxy. A kinetic model accounting for elasticity, wetting, and anisotropy is shown to reproduce well the experimental findings with appropriate wetting parameters. In this nucleationless regime, a mean-field kinetic analysis explains the existence of nearly stationary states by the vanishing of the coarsening driving force. The island size distribution follows in both experiments and theory the scaling law associated with a single characteristic length scale.

Room temperature water Leidenfrost droplets.

We experimentally investigate the Leidenfrost effect at pressures ranging from 1 to 0.05 atmospheric pressure. As a direct consequence of the Clausius­Clapeyron phase diagram of water, the droplet temperature can be at ambient temperature in a non-sophisticated lab environment. Furthermore, the lifetime of the Leidenfrost droplet is significantly increased in this low pressure environment. The temperature and pressure dependence of the evaporation rate is successfully tested against a recently proposed model. These results may pave the way for reaching efficient Leidenfrost micro-fluidic and milli-fluidic applications.

Papillary thyroid carcinoma in Denmark 1996-2008: an investigation of changes in incidence.

BACKGROUND: A rise in the incidence of thyroid cancer has been reported in several countries, and the increase is only seen in the papillary type. Increased detection due to higher resolution ultrasound and fine needle aspiration has been proposed as the explanation, recent registry studies however question this assumption. METHODS: National, unselected, prospective cohort study of 1350 papillary thyroid cancer patients in Denmark from 1996 to 2008. OBJECTIVE: To analyze changes in incidence by time and to identify factors which might influence detection rate. RESULTS: A rise in incidence is seen with age standardized ratios increasing from 1.43 per 100.000 per year in 1996 to 2.16 per 100.000 per year in 2008. The median age at presentation was 46 years and median tumor size was 18 mm. Male/female ratio was 1/2.9. By dichotomizing the material in a time period before and after the 30th of June 2001, no significant change in the proportion of diagnosed tumors smaller than 1 or 2 cm was found, and 42.8% of the rise in incidence was explained by tumors larger than 2 cm. No significant change in diagnostic use of ultrasound or fine needle aspiration was found, and a significant change toward more extensive thyroid surgery could not be confirmed. CONCLUSION: This study shows a significant rise in incidence of papillary thyroid carcinoma in Denmark from 1996 to 2008, which is not explained by increased use of preoperative diagnostic modalities. Other reasons need to be considered.

Take off of small Leidenfrost droplets.

We put in evidence the unexpected behavior of Leidenfrost droplets at the later stage of their evaporation. We predict and observe that, below a critical size Rl, the droplets spontaneously take off due to the breakdown of the lubrication regime. We establish the theoretical relation between the droplet radius and its elevation. We predict that the vapor layer thickness increases when the droplets become smaller. A satisfactory agreement is found between the model and the experimental results performed on droplets of water and of ethanol.

Anisotropy driven interrupted coarsening of the Asaro-Tiller-Grinfeld instability.

We investigate the effects of surface energy anisotropy on the coarsening dynamics of the Asaro-Tiller-Grinfeld instability at stake in thin semiconductor films. We consider a continuum model which accounts for wetting interactions between the film and its substrate, elasticity driven mass currents and surface energy anisotropy. We derive an explicit non-linear, non-local evolution equation for the film height that we solve numerically. Anisotropy, which dictates the island shapes, impacts the growth kinetics by weakening the possible elastic relaxation, which can lead during annealing to an interruption of Ostwald ripening. The resulting stationary state is characterized by square-based pyramids separated by a wetting layer. It is found that the instability onset is delayed when the film thickness decreases above the critical thickness for the instability to occur. We characterize the influence of the growing flux used for the film deposition on the stationary state reached during subsequent annealing, and find that the density of the resulting self-organized islands increases with the flux.

Ordering of strained islands during surface growth.

We study the morphological evolution of strained islands in growing crystal films by use of a continuum description including wetting, elasticity, and deposition. We report different nonlinear regimes following the elastic instability and tuned by the flux. Increasing the flux, we first find an annealinglike dynamics, then a slower but nonconventional ripening followed by a steady regime, while the island density continuously increases. The islands develop spatial correlations and ordering with a narrow two-peaked distance distribution and ridgelike clusters of islands at high flux.

Post-thyroidectomy hemorrhage: a national study of patients treated at the Danish departments of ENT Head and Neck Surgery.

As bleeding in the neck region is a potentially life-threatening complication, we found it imperative to concretize the frequency and to identify possible reasons for this complication. A national database of all thyroid surgery performed inside the specialty of ENT Head and Neck Surgery (THYKIR) was established in January 2001. This nationwide cohort study represents 5,490 patients included until December 2007. Overall hemorrhage frequency was 4.2% with a wide variation among departments. Multiple regression analysis identified age, male gender, malignant histology and extent of surgery as independent risk factors for hemorrhage. Increased hospital stay and infection rates were found in patients treated with drainage. The median time for onset of postoperative hemorrhage was 3 h (range 0-105). Compared with international literature our incidence of post-thyroidectomy hemorrhage is relatively high. Improvement might be reached by the exchange of experience between departments with focus on adequate surgical technique and careful hemostasis.

[Thyroid papillary cancer using TPO staining]. / Papillaert thyroideakarcinom med kraftig farvning for tyroperoxidase.

Immunostaining for TPO (MoAb47) has been used to predict the risk of thyroid cancer in thyroid adenomas without uptake in thyroid 99m pertechnetate scintigraphy. This case describes a 16-year-old girl with thyroid papillary cancer staining 95% positive using TPO staining. The case indicates that TPO staining can not be used as the only parameter in the evaluation of the risk of cancer in the thyroid gland.

Intravital microlesions in the human otic capsule. Detection, classification and pathogenetic significance revisited.

PURPOSE OF THE STUDY: To verify microcracks in human temporal bones by a method which distinguishes intravital lesions from artifacts, to revisit previous information derived from decalcified materials on their morphology and classification and to discuss the possible clinical significance. PROCEDURES: Histological analysis of 210 undecalcified adult human temporal bones bulk-stained by basic fuchsin in ethanol prior to embedding in methyl methacrylate and processing by the cutting and grinding method. RESULTS: Intravital crack lesions appeared in all specimens and could be distinguished from artifacts regardless of crack morphology and size. Particularly, large microfissures were found around the labyrinthine windows, while smaller microfissures originating at the perilymphatic space were found throughout perilabyrinthine bone. Small noncommunicating fatigue microdamage was identified for the first time. All lesions were reorganized according to morphology, topography and possible clinical significance. CONCLUSION: Microfissures accumulate in the adult otic capsule as expected when bone remodeling is low. Any capsular microlesion may introduce a possible barrier in the recently discovered antiresorptive signaling pathway from inner ear structures via the lacunocanalicular osteocytic network to perilabyrinthine bone. For this reason intravital microfissures may interfere with in vivo inhibition of temporal bone remodeling and consequently offer another pathogenetic factor in otosclerosis.