[Comparison between the first and second COVID-19 wave of patients who required invasive mechanical ventilation in an intensive care unit in Argentina]. / Comparación entre la primera y segunda ola de pacientes con COVID-19 que requirieron ventilación mecánica invasiva en una unidad de cuidados intensivos de Argentina.

INTRODUCTION: the information regarding characteristics and ventilatory results comparing the first (W1) and the second wave (W2) in Argentina are limited. The main objective of this study was to describe general characteristics and ventilatory variables in COVID-19 patients who required invasive mechanical ventilation (IMV) and compare differences between waves. Secondarily, factors associated with mortality in intensive care unit (ICU) were studied. METHODS: We conducted a prospective observational cohort study that included patients older than 18 years infected with SARS-CoV-2 consecutively admitted to ICU with IMV between August 1, 2020, and June 30, 2021. We included 412 patients. RESULTS: We found statistically significant differences (p < 0.001) in age [W1 64(55-72) vs W2 59 (50-66) years], presence of COPD [W1 n = 42 (19.8%) vs. W2 n = 13(6.3%)], plateau pressure [W1 27(25-30) cm H2O vsW2 24 (22-27) cmH2O], driving pressure (ΔP) [W1 15 (13-17) cmH2O vs. W2 12 (11-14) cm H2O] compliance [W1 40 mL/cmH2O (32-46) vs. W2 = 33 mL/cm H2O (27-40)]; reintubation [W1 30.4% (n = 63/207) vs. W2 13.7% (n = 28/205)]. We identified as independent factors associated with mortality the following variables: age [OR 1.07(95% CI 1.05-1.09)], the ΔP in the first 24 hours [OR 1.19(95% CI 1.10-1.28)] and W2 [OR 1.81 (95% IC1.12-2.93); p = 0.015. DISCUSSION: During W2 the patients were younger. It was possible to achieve ventilatory mechanics more adjusted to a protective ventilation strategy. In conclusion, in the patients studied, age and ΔP were independent predictors of mortality.

Introducción: la información sobre características y resultados ventilatorios que comparen la primera (O1) y segunda (O2) ola de COVID-19 en Argentina son limitados. El objetivo principal de este estudio fue describir las características generales y variables ventilatorias en pacientes COVID-19 que requirieron ventilación mecánica invasiva (VMI) y comparar las diferencias entre olas. Secundariamente se estudiaron factores asociados con mortalidad en la unidad de cuidados intensivos (UCI). Métodos: Realizamos un estudio observacional analítico de cohorte prospectiva que incluyó pacientes mayores de 18 años infectados por SARS-CoV-2 ingresados de forma consecutiva a la unidad de cuidados intensivos, con requerimiento de VMI, entre el 1 de agosto de 2020 y el 30 de junio de 2021. Se incluyeron 412 pacientes. Resultados: Encontramos diferencias estadísticamente significativas (p < 0.001) en: la edad [O1 64 (55-72) años versus O2 59 (50-66) años]; presencia de EPOC [O1 n = 41 (19.8%) versus O2 n = 13 (6.3%)]; Presión meseta [O1 27 (25-30) cmH2O versus O224 (22-27) cmH2O],presión de conducción (ΔP) [O1 15 (13-17) cmH2O versus O2 12 (11-14) cmH2O]; complacencia [O1 40 mL/cmH2O (32-46) versus O2 33 mL/cmH2O (27-40)]; reintubación [O1 30.4% (n=63/207) versus O2 13.7% (n=28/205)]. Se identificaron como factores independientes asociados a mortalidad las siguientes variables: edad [(OR 1.07 (IC 95% 1.05-1.09)], el ΔP en las primeras 24 h [(OR 1.19 (IC 95% 1.10-1.28)] y O2 [OR 1.81 (IC 95% 1.12-2.93); p = 0.015]. Discusión: Durante O2, los pacientes eran más jóvenes. Fue posible lograr una mecánica ventilatoria más ajustada a una estrategia de ventilación protectora. Como conclusión, en los pacientes estudiados la edad y ΔP fueron predictores independientes de mortalidad.

Electro-orientation of Ag nanowires in viscoelastic fluids.

In this work we study the electro-orientation (through electric birefringence experiments) of silver nanowires in polymer solutions eventually capable of forming gel networks. Information on the structure of the polymer solution is obtained by evaluating the electro-orientation of the nanowires. It is found that in presence of poly(ethylene oxide), Kerr's law (birefringence proportional to the square of the field) is fulfilled, and the randomization process after switching off the external field is purely diffusive, controlled by the viscosity of the Newtonian polymer solution. In the case of (gelating) sodium alginate solutions, measuring at larger distances from the bottom (where the source of cross-linking Ca2+ ions is deposited) means a smaller degree of cross-linking, and a less stiff gel. In fact, it is found that after a certain time the birefringence signal gets frozen at the bottom, indicating that a gel network is formed which hinders particle orientation. The viscosity deduced up to that point agrees well with rheological determinations, with increasing deviations found at longer times due to the inhomogeneous gel formation. This process has an interesting consequence on birefringence response: Kerr's law fails to be fulfilled, appearing a "yield" applied electric field, larger the longer the time after preparation.

Comparación entre la primera y segunda ola de pacientes con COVID-19 que requirieron ventilación mecánica invasiva en una unidad de cuidados intensivos de Argentina / Comparison between the first and second COVID-19 wave of patients who required invasive mechanical ventilation in an intensive care unit in Argentina

Resumen Introducción: la información sobre características y resultados ventilatorios que comparen la primera (O1) y segunda (O2) ola de COVID-19 en Argentina son limitados. El objetivo principal de este estudio fue describir las características generales y variables ventilatorias en pacientes COVID-19 que requirieron ventilación mecánica invasiva (VMI) y comparar las diferencias entre olas. Secundariamente se es tudiaron factores asociados con mortalidad en la unidad de cuidados intensivos (UCI). Métodos: Realizamos un estudio observacional analítico de cohorte prospectiva que incluyó pacientes mayores de 18 años infectados por SARS-CoV-2 ingresados de forma consecutiva a la unidad de cuidados intensivos, con requerimiento de VMI, entre el 1 de agosto de 2020 y el 30 de junio de 2021. Se incluyeron 412 pacientes. Resultados: Encontramos diferencias estadísticamente significativas (p < 0.001) en: la edad [O1 64 (55-72) años versus O2 59 (50-66) años]; presencia de EPOC [O1 n = 41 (19.8%) versus O2 n = 13 (6.3%)]; Presión meseta [O1 27 (25-30) cmH2O versus O224 (22-27) cmH2O],presión de conducción (ΔP) [O1 15 (13-17) cmH2O versus O2 12 (11-14) cmH2O]; complacencia [O1 40 mL/cmH2O (32-46) versus O2 33 mL/cmH2O (27-40)]; reintubación [O1 30.4% (n=63/207) versus O2 13.7% (n=28/205)]. Se identificaron como factores independientes asociados a mortalidad las siguientes variables: edad [(OR 1.07 (IC 95% 1.05-1.09)], el ΔP en las primeras 24 h [(OR 1.19 (IC 95% 1.10-1.28)] y O2 [OR 1.81 (IC 95% 1.12-2.93); p = 0.015]. Discusión: Durante O2, los pacientes eran más jóvenes. Fue posible lograr una mecánica ventilatoria más ajustada a una estrategia de ventilación protectora. Como conclusión, en los pacientes estudiados la edad y ΔP fueron predictores independientes de mortalidad.

Abstract Introduction: the information regarding characteristics and ventilatory results comparing the first (W1) and the second wave (W2) in Argentina are limited. The main objective of this study was to describe general charac teristics and ventilatory variables in COVID-19 patients who required invasive mechanical ventilation (IMV) and compare differences between waves. Secondarily, factors associated with mortality in intensive care unit (ICU) were studied. Methods: We conducted a prospective observational cohort study that included patients older than 18 years infected with SARS-CoV-2 consecutively admitted to ICU with IMV between August 1, 2020, and June 30, 2021. We included 412 patients. Results: We found statistically significant differences (p < 0.001) in age [W1 64(55-72) vs W2 59 (50-66) years], presence of COPD [W1 n = 42 (19.8%) vs. W2 n = 13(6.3%)], plateau pressure [W1 27(25-30) cm H2O vsW2 24 (22-27) cmH2O], driving pressure (ΔP) [W1 15 (13-17) cmH2O vs. W2 12 (11-14) cm H2O] compliance [W1 40 mL/cmH2O (32-46) vs. W2 = 33 mL/cm H2O (27-40)]; reintubation [W1 30.4% (n = 63/207) vs. W2 13.7% (n = 28/205)]. We identified as independent factors associated with mortality the following variables: age [OR 1.07(95% CI 1.05-1.09)], the ΔP in the first 24 hours [OR 1.19(95% CI 1.10- 1.28)] and W2 [OR 1.81 (95% IC1.12-2.93); p = 0.015. Discussion: During W2 the patients were younger. It was possible to achieve ventilatory mechanics more adjusted to a protective ventilation strategy. In conclusion, in the patients studied, age and ΔP were independent predictors of mortality.

Polymer-induced orientation of nanowires under electric fields.

The controlled orientation of metallic wires inside a polymeric medium can enhance desired properties of the composites, such as the electrical conductivity or the optical transmittance. In this work, we study silver nanowire orientation in semidilute suspensions of DNA and find an intriguing effect: under the application of low-frequency AC electric fields with moderate amplitude, the DNA coils can provoke the orientation of the wires in solution. The phenomenon is entirely induced by the polymer, when it is deformed by the application of an electric field. This effect is explained using computer simulations based on excluded-volume interactions. Moreover, we experimentally show that such a behaviour is not exclusive of silver nanowire-DNA suspensions, but rather occurs for other particle-polymer systems. This phenomenon can be taken advantage of to achieve strong orientation of particles otherwise insensitive to electric fields.

Taphonomic information from the modern vertebrate death assemblage of Doñana National Park, Spain.

Modern death assemblages provide insights about the early stages of fossilization and useful ecological information about the species inhabiting the ecosystem. We present the results of taphonomic monitoring of modern vertebrate carcasses and bones from Doñana National Park, a Mediterranean coastal ecosystem in Andalusia, Spain. Ten different habitats were surveyed. Half of them occur in active depositional environments (marshland, lake margin, river margin, beach and dunes). Most of the skeletal remains belong to land mammals larger than 5 kg in body weight (mainly wild and feral ungulates). Overall, the Doñana bone assemblage shows good preservation with little damage to the bones, partly as a consequence of the low predator pressure on large vertebrates. Assemblages from active depositional habitats differ significantly from other habitats in terms of the higher incidence of breakage and chewing marks on bones in the latter, which result from scavenging, mainly by wild boar and red fox. The lake-margin and river-margin death assemblages have high concentrations of well preserved bones that are undergoing burial and offer the greatest potential to produce fossil assemblages. The spatial distribution of species in the Doñana death assemblage generally reflects the preferred habitats of the species in life. Meadows seem to be a preferred winter habitat for male deer, given the high number of shed antlers recorded there. This study is further proof that taphonomy can provide powerful insights to better understand the ecology of modern species and to infer past and future scenarios for the fossil record.

Electro-Orientation of Silver Nanowires in Alternating Fields.

In this work, we analyze the orientation of silver nanowires immersed in aqueous solutions, under the effect of alternating electric fields in a broad frequency range covering from a few Hz to several MHz. The degree of orientation is experimentally determined by electro-optical techniques, which present the advantage of measuring multiple particles at the same time. In the electro-orientation spectrum, we observe frequency dispersion in the kHz range and provide a theoretical explanation for this behavior: at high frequencies, charge separation in the nanoparticles leads to a large induced dipole responsible for strong orientation. On the other hand, at low frequencies, redistribution of the ions in solution gives rise to an induced double layer that screens the dipolar fields, and as a consequence, the degree of orientation decreases. Moreover, we measure the transient response when the electric field is switched off, from which the size distribution of the polydisperse sample is obtained. The results match those given by electron microscopy determinations.

Enfermedad de Zuska: fístula crónica mamaria infrecuente / Zuska disease: An uncommon chronic fístula of the breast

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Determination of the size distribution of non-spherical nanoparticles by electric birefringence-based methods.

The in situ determination of the size distribution of dispersed non-spherical nanoparticles is an essential characterization tool for the investigation and use of colloidal suspensions. In this work, we test a size characterization method based on the measurement of the transient behaviour of the birefringence induced in the dispersions by pulsed electric fields. The specific shape of such relaxations depends on the distribution of the rotational diffusion coefficient of the suspended particles. We analyse the measured transient birefringence with three approaches: the stretched-exponential, Watson-Jennings, and multi-exponential methods. These are applied to six different types of rod-like and planar particles: PTFE rods, goethite needles, single- and double-walled carbon nanotubes, sodium montmorillonite particles and gibbsite platelets. The results are compared to electron microscopy and dynamic light scattering measurements. The methods here considered provide good or excellent results in all cases, proving that the analysis of the transient birefringence is a powerful tool to obtain complete size distributions of non-spherical particles in suspension.

Extended use of bemiparin as thromboprophylaxis during bariatric surgery: results of anti-factor Xa activity measurements.

BACKGROUND: The incidence of venous thromboembolism (VTE) in morbidly obese patients after obesity surgery is between .2% and 3.5%. Because there are a lack of prospective studies on the type of drug, the correct dosage, and the optimal duration, there are no specific recommendations found in the guidelines on thrombophylaxis. OBJECTIVES: To compare the incidence of VTE and hemorrhagic events in bariatric surgical patients receiving bemiparin thromboprophylaxis who have prophylactic and nonprophylactic Anti-factor Xa (AFXa) levels. SETTING: University General Hospital of Ciudad Real, Spain, public practice. METHODS: A cohort study of 122 morbidly obese patients who underwent bariatric surgery. The thromboprophylactic regimen consisted of bemiparin 5000 IU/24 hr for 30 days. AFXa levels were measured on the second and third day postoperation (prophylactic range: .3-.5 IU/mL). Body mass index, co-morbidities, prothrombotic risk factors, and thrombotic and hemorrhagic events were noted. RESULTS: The mean body mass index was 48.4 kg/m2. In 50 samples, the level of AFXa was within the prophylactic range; in 71, they were in the subprophylactic range. No VTEs were observed. Major hemorrhagic events were observed in 2.4%. We did not find a significant association between AFXa and thromboembolic and hemorrhagic events. There is a significant negative correlation between the level of AFXa and body mass index. CONCLUSION: A regimen of 5000 IU/24 hr of bemiparin for 30 days after obesity surgery appears to prevent VTE without increasing the risk of a major hemorrhage. The level of AFXa is not associated with postoperative thrombotic or hemorrhagic events occurring after bariatric surgery.

The record of Aplodontidae (Rodentia, Mammalia) in the Oligocene and Miocene of the Valley of Lakes (Central Mongolia) with some comments on the morphologic variability.

The present publication reports new discoveries of Oligocene and early Miocene aplodontid rodents from the Taatsiin Gol area (Valley of Lakes) in Mongolia. The fossil aplodontids recovered in this area are mainly composed of dental remains, some fragmentary jaws plus one partially preserved skull. Aplodontid rodents have been found from the early Oligocene (local biozone A) to the early middle Miocene (local biozone D). Altogether, eight taxa belonging to five genera have been identified in the investigated deposits: Ninamys arboraptus, Ninamys kazimierzi, Promeniscomys cf. sinensis, Prosciurus? mongoliensis and Prosciurus? sp. nov. in the early Oligocene; N. arboraptus, Proansomys badamae sp. nov. and Ansomyinae indet. in the late Oligocene; and Ansomys sp.1 in the early Miocene. In addition, although outside of the topic of the present special issue, one additional taxon, Ansomys sp.2, is reported from the ?middle Miocene. The material of aplodontids is usually relatively scarce in Asian localities. For the first time, with a sample size of 81 specimens, the material from Central Mongolia (mainly from the Oligocene) now allows a more accurate description of the morphological and size variability and resolves some systematic problems. The study of these aplodontids reveals that they are more abundant and diverse in the early Oligocene and that the diversity decreases during the late Oligocene and Miocene. One hypothesis, to explain the opposite diversity trend observed previously for sciurids in the same region, is that both Sciuromorpha families might have competed for the same resources from the early Oligocene to the middle Miocene in Central Mongolia.

Cricetidae (Rodentia, Mammalia) from the Oligocene of the Valley of Lakes (Mongolia): the genera Aralocricetodon, Eocricetodon, Bagacricetodon, Witenia and Paracricetodon.

We describe the remains of Aralocricetodon Bendukidze, 1993; Bagacricetodon Gomes Rodrigues et al., 2012; Eocricetodon Wang, 2007; Witenia de Bruijn et al., 2003 and Paracricetodon Schaub, 1925 (Cricetidae, Rodentia, Mammalia) from the Taatsiin Gol and Taatsiin Tsagaan Nuur areas (Mongolia). The studied material (comprising 128 teeth) stems from 9 localities and 23 fossil layers spanning a time interval from ∼33 to ∼24 Ma (early to late Oligocene) and covering the biozones from A to C1. The general dental pattern between the species from the early and late Oligocene differed. The occlusal pattern of the molars was more complicated and the crowns were lower during the early versus late Oligocene. This indicates a change in diet towards more abrasive plants. Several of the studied species were common in both Europe and Asia Minor during the early Oligocene. The species collected from the late Oligocene have also been recorded in Kazakhstan and China. This indicates an interesting biogeographical pattern that merits future study.

Oligocene stratigraphy across the Eocene and Miocene boundaries in the Valley of Lakes (Mongolia).

Cenozoic sediments of the Taatsiin Gol and TaatsiinTsagaan Nuur area are rich in fossils that provide unique evidence of mammal evolution in Mongolia. The strata are intercalated with basalt flows. 40Ar/39Ar data of the basalts frame the time of sediment deposition and mammal evolution and enable a composite age chronology for the studied area. We investigated 20 geological sections and 6 fossil localities of Oligocene and early Miocene deposits from this region. Seventy fossil beds yielded more than 19,000 mammal fossils. This huge collection encompasses 175 mammal species: 50% Rodentia, 13% Eulipotyphla and Didelphomorphia, and 12% Lagomorpha. The remaining 25% of species are distributed among herbivorous and carnivorous large mammals. The representation of lower vertebrates and gastropods is comparatively poor. Several hundred SEM images illustrate the diversity of Marsupialia, Eulipotyphla, and Rodentia dentition and give insight into small mammal evolution in Mongolia during the Oligocene and early Miocene. This dataset, the radiometric ages of basalt I (∼31.5 Ma) and basalt II (∼27 Ma), and the magnetostratigraphic data provide ages of mammal assemblages and time ranges of the Mongolian biozones: letter zone A ranges from ∼33 to ∼31.5 Ma, letter zone B from ∼31.5 to ∼28 Ma, letter zone C from ∼28 to 25.6 Ma, letter zone C1 from 25.6 to 24 Ma, letter zone C1-D from 24 to ∼23 Ma, and letter zone D from ∼23 to ∼21 Ma.

Oligocene and early Miocene mammal biostratigraphy of the Valley of Lakes in Mongolia.

The Taatsiin Gol Basin in Mongolia is a key area for understanding the evolution and dispersal of Central Asian mammal faunas during the Oligocene and early Miocene. After two decades of intense fieldwork, the area is extraordinarily well sampled and taxonomically well studied, yielding a large dataset of 19,042 specimens from 60 samples. The specimens represent 176 species-level and 99 genus-level taxa comprising 135 small mammal species and 47 large mammals. A detailed lithostratigraphy and new magnetostratigraphic and radiometric datings provide an excellent frame for these biotic data. Therefore, we test and evaluate the informal biozonation scheme that has been traditionally used for biostratigraphic correlations within the basin. Based on the analysis of the huge dataset, a formalised biostratigraphic scheme is proposed. It comprises the Cricetops dormitor Taxon Range Zone (Rupelian), subdivided into the Allosminthus khandae Taxon Range Subzone and the Huangomys frequens Abundance Subzone, the Amphechinus taatsiingolensis Abundance Zone (early Chattian), the Amphechinus major Taxon Range Zone (late Chattian), subdivided into the Yindirtemys deflexus Abundance Subzone and the Upper Amphechinus major T. R. Z., and the Tachyoryctoides kokonorensis Taxon Range Zone (Aquitanian). In statistical analyses, samples attributed to these biozones form distinct clusters, indicating that each biozone was also characterised by a distinct faunal type.

Evolution of the genus Eucricetodon (Rodentia, Mammalia) from the Valley of Lakes (Mongolia): a taxonomical description and update on the stratigraphical distribution.

The Oligocene fossil deposits from Valley of Lakes in Central Mongolia have provided a wealth of rodent fossils. Among these, cricetids are a very important part. To date, only the Miocene genera have been described in detail. Here, we focus on the Oligocene genus Eucricetodon from this region. Eucricetodontinae are the most abundant fossils in the Oligocene Valley of Lakes faunas. The present study consists of the description of five species of cricetid rodents from 43 localities ranging in age from the early Oligocene to the early-late Oligocene. In addition to Eucricetodon asiaticus described in Mongolia in 1923, we have found Eucricetodon bagus and Eucricetodon jilantaiensis that were described from Nei Mongol and Eucricetodon occidentalis discovered in Kazakhstan. This taxonomical study provides new information regarding the evolution of the Cricetidae in Central and Eastern Asia during the Oligocene and, more particularly, regarding their phylogenetic relationships and the evolutionary trends.

A new species of Argyromys (Rodentia, Mammalia) from the Oligocene of the Valley of Lakes (Mongolia): Its importance for palaeobiogeographical homogeneity across Mongolia, China and Kazakhstan.

We describe a new species of Rodentia (Mammalia), Argyromys cicigei sp. nov. from Toglorhoi (fossil bed TGW-A/2a) in Mongolia and Ulantatal (fossil beds UTL 1 and UTL 7) in China. Its tooth morphology differs from the type species Argyromys aralensis from Akespe in Kazakhstan by smaller size and simpler structures. Argyromys has been assigned in different families of Muroidea, such as Tachyoryctoididae and Spalacidae. However, the presence of common characters indicates a closer relationship of Argyromys with the genera of Cricetidae s.l. (subfamilies Eucricetodontinae; Cricetopinae; Cricetodontinae and Gobicricetodontinae among others) from Asia than with the earliest representatives of Spalacidae or the endemic Tachyoryctoididae. Argyromys cicigei sp. nov. possesses a simple anterocone and anteroconid in the upper and lower first molars, respectively, which is characteristic for Cricetidae s.l. It has a flat occlusal surface in worn specimens; weakly-developed posterolophs; an oblique protolophule and metaloph on the upper molars and it lacks a labial anterolophid on the m1. These traits are also typical of the Oligocene genera Aralocricetodon and Plesiodipus, included in the subfamilies Cricetodontinae and Gobicricetodontinae respectively. The cladistic analysis performed here supports this hypothesis. The clade formed by Argyromys species is grouped with other cricetid taxa (s.l). Spalacids, however, form a different clade, as do the tachyoryctoids. Previous authors state that the Aral Formation (Kazakhstan) should be dated to the Oligocene instead of the Miocene, based on the presence of several taxa. The finds of Argyromys in both regions supports the statement that they are closer in age than previously thought. The occurrence of Argyromys in Kazakhstan, Mongolia and China evidences the biogeographic unity of the Central Asian bioprovince during the Oligocene.

Stepwise onset of the Icehouse world and its impact on Oligo-Miocene Central Asian mammals.

Central Asia is a key area to study the impact of Cenozoic climate cooling on continental ecosystems. One of the best places to search for rather continuous paleontological records is the Valley of Lakes in Mongolia with its outstandingly fossil-rich Oligocene and Miocene terrestrial sediments. Here, we investigate the response by mammal communities during the early stage of Earth's icehouse climate in Central Asia. Based on statistical analyses of occurrence and abundance data of 18608 specimens representing 175 mammal species and geochemical (carbon isotopes) and geophysical (magnetic susceptibility) data we link shifts in diversities with major climatic variations. Our data document for the first time that the post-Eocene aridification of Central Asia happened in several steps, was interrupted by short episodes of increased precipitation, and was not a gradual process. We show that the timing of the major turnovers in Oligocene mammal communities is tightly linked with global climate events rather than slow tectonics processes. The most severe decline of up 48% of total diversity is related to aridification during the maximum of the Late Oligocene Warming at 25 Ma. Its magnitude was distinctly larger than the community turnover linked to the mid-Oligocene Glacial Maximum.

The utility of hyperthermic intra-abdominal chemotherapy with gemcitabine for the inhibition of tumor progression in an experimental model of pancreatic peritoneal carcinomatosis, in relation to their behavior with pancreatic cancer stem cells CD133+ CXCR4.

OBJECTIVE: The origin of pancreatic cancer has been identified as a population of malignant pancreatic stem cells CD133+ CXCR4+ immunophenotype. These cells have high capacity for early locoregional invasion, being responsible for early recurrence and high mortality rates of pancreatic cancer. We propose a study for decreasing tumor progression of pancreatic cancer by reducing the volume and neoplastic subpopulation of pancreatic cancer stem cells CD133+ CXCR4+. Therefore, we develop a new therapeutic model, characterized by the application of HIPEC (Hyperthermic Intraperitoneal Chemotherapy) with gemcitabine. DESIGN: Pancreatic tumor cell line: human cell line BxPC-3. The animal model involved 18 immunosuppressed rats 5 weeks weighing 150-200 gr. The implantation of 13 × 10(6) cells/mL was performed with homogeneous distribution in the 13 abdominopelvic quadrants according to the peritoneal carcinomatosis index (PCI) and were randomized into three treatment groups. Group I (4 rats) received intravenous saline. Group II (6 rats) received intravenous gemcitabine. Group III (8 rats) received HIPEC at 41 °C for 30 min with gemcitabine + gemcitabine IV. A histological study confirmed pancreatic cancer and immunohistochemical quantification of pancreatic cancer stem cells CD133+ CXCR4+ tumor cells. RESULTS: There was a population decline of pancreatic cancer stem cells CD133+ CXCR4+ in the HIPEC group with respect to the other two groups (p < 0.001). There was a decrease in PCI between treatment groups (p < 0.05). CONCLUSION: The initial results are encouraging since there is a declining population of cancer stem cells CD133+ CXCR4+ in the HIPEC group and decreased tumor volume compared to the other two treatment groups. All the conclusions are only valid for BxPC3 cell line, and the effects HIPEC on Kras-driven pancreatic tumors remain to be determined.

Electric birefringence spectroscopy of montmorillonite particles.

Electric birefringence (EB) of suspensions of anisotropic particles can be considered an electrokinetic phenomenon in a wide sense, as both liquid motions and polarization of the electrical double layer (EDL) of the particles participate in the process of particle orientation under the applied field. The EB spectrum can be exploited for obtaining information on the dimensions, average value and anisotropy of the surface conductivity of the particles, and the concentration and Maxwell-Wagner polarization of the EDLs. It is thus a highly informative technique, applicable to non-spherical particles. In this paper, we investigate the birefringent response of plate-like montmorillonite particles as a function of the frequency and amplitude of the applied AC electric field, for different compositions (pH, ionic strength, particle concentration) of the suspensions. The transient electric birefringence (i.e., the decay of the refractive index anisotropy with time when the field is switched off) is used for estimating the average dimensions of the particle axes, by modeling it as an oblate spheroid. The obtained values are very similar to those deduced from electron microscopy determinations. The frequency spectra show a very distinct behaviour at low (on the order of a few Hz) and high (up to several MHz) frequencies: the α and Maxwell-Wagner-O'Konski relaxations, characteristic of EDLs, are detected at frequencies above 10 kHz, and they can be well explained using electrokinetic models for the polarization of EDLs. At low frequencies, in contrast, the birefringence changes to negative, an anomalous response meaning that the particles tend to orient with their symmetry axis parallel to the field. This anomaly is weaker at basic pH values, high ionic strengths and low concentrations. The results can be explained by considering the polydispersity of real samples: the fastest particles redistribute around the slowest ones, inducing a hydrodynamic torque opposite to that of the field, in close similarity with the results previously described for the mixtures of anisometric particles with small amounts of spherical nanoparticles.

[Syncrhonous carcinosarcoma of the extrahepatic bile duct and gallbladder.] / Carcinosarcoma sincrónico de la vesícula y la via biliar extrahepática.

Carcinosarcoma is a malignant neoplasm characterized for intermingled epithelial and mesenchymal components. CASE REPORT: A preoperative suspected diagnosis will allow a radical therapy avoiding a very bad prognosis. We report on a male patient who was operated in our Service with diagnosis of synchronous carcinosarcoma of gallbladder and extrahepatic bile duct and a review of the Medical Literature. DISCUSSION: A gallblader carcinosarcoma showing extension into common bile duct is very rare, a carcinosarcoma of the bile duct is exceptional, and a synchronous carcinosarcoma ofthe bile duct and gallbladder has not been reported previously.

Molecular biology of malignant gliomas.

Gliomas are the most common primary brain tumours. In keeping with the degree of aggressiveness, gliomas are divided into four grades, with different biological behaviour. Furthermore, as different gliomas share a predominant histological appearance, the final classification includes both, histological features and degree of malignancy. For example, gliomas of astrocytic origin (astrocytomas) are classified into pilocytic astrocytoma (grade I), astrocytoma (grade II), anaplastic astrocytoma (grade III) and glioblastoma multiforme (GMB) (grade IV). Tumors derived from oligodendrocytes include grade II (oliogodendrogliomas) and grade III neoplasms (oligoastrocytoma). Each subtype has a specific prognosis that dictates the clinical management. In this regard, a patient diagnosed with an oligodendroglioma totally removed has 10-15 years of potential survival. On the opposite site, patients carrying a glioblastoma multiforme usually die within the first year after the diagnosis is made. Therefore, different approaches are needed in each case. Obviously, prognosis and biological behaviour of malignant gliomas are closely related and supported by the different molecular background that possesses each type of glioma. Furthermore, the ability that allows several low-grade gliomas to progress into more aggressive tumors has allowed cancer researchers to elucidate several pathways implicated in molecular biology of these devastating tumors. In this review, we describe classical pathways involved in human malignant gliomas with special focus with recent advances, such as glioma stem-like cells and expression patterns from microarray studies.