Adjuvant radiotherapy treatment for soft tissue sarcoma of extremities and trunk. A retrospective mono-institutional analysis.

Soft tissue sarcomas (STS) are uncommon, heterogeneous malignant tumors of mesodermal origin. Other than conservative surgery (CS), neoadjuvant or adjuvant radiotherapy (RT) is recommended when the risk of local recurrence is high. The aim of this study is to present our Institutional experience in adjuvant RT for treatment of STS of extremities and trunk (with either brachytherapy (BRT), external beam RT (EBRT), or both) and to provide an insight of toxicity and oncological outcomes for each RT modality. According to the RT treatment approach, patients were divided into three categories: 1) BRT alone; 2) EBRT alone; 3) combined BRT+EBRT. Differences among the three groups were assessed by the Chi-squared test. Patients' follow-up was performed every 6 months for the first two years after the end of RT and then once a year. Data from 90 patients were analyzed. The overall 3-year distant relapse-free survival (DRFS), progression-free survival (PFS), and overall survival (OS) were 84%, 80%, and 97%, respectively. Acute erythema was the most frequent side effect, although severe grade 3 toxicity was present in 5 patients. Chronic toxicity of any grade was reported in 14 patients. The incidence of chronic toxicity did not show any association with treatment modality. Multivariate analysis suggested a significant correlation between acute toxicity and tumor size, RT modality, and RT dose. In conclusion, good local control and toxicity profile were observed, despite negative patients' selection at baseline. Further investigation on wider series is warranted in order to define the optimal combination with systemic therapy.

Opinión de médicos urgenciólogos sobre la práctica de ecografías por médicos no radiólogos / Opinion of emergency phisicians on the utilization of ultrasound by non-radiologist physicians

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Diet selenium improves the antioxidant defense system of juveniles Nile tilapia ( Oreochromis niloticus L) / Selênio na dieta melhora o sistema de defesa antioxidante de juvenis de Tilápia do Nilo (Oreochromis niloticus L)

Abstract From the advancement of tilapia production in recent years, diets are sought that allow the maximum growth, improving health and fish quality. In this study growth, biochemical, hematological and oxidative parameters were evaluated of tilapia fed with increasing selenium levels: 0.53, 0.86, 1.04 and 1.22 mg kg-1. It was used 400 juveniles (initial weight = 36.51 ± 10.88 g), fed for six weeks. There was no effect of selenium on fish growth, biochemical and hematological parameters. In the oxidative parameters, there was an increase in non-protein thiols and a decrease in malondialdehyde levels, evidencing antioxidant effects of selenium. The diet selenium levels above 0.86 mg kg-1 improved the antioxidant system and does not affect to biochemical, hematological and growth parameters of tilapia juveniles.

Resumo Com o avanço da produção de tilápia nos últimos anos, buscam-se dietas que possibilitem o máximo crescimento, saúde e qualidade do pescado. Neste trabalho foram avaliados parâmetros de crescimento, bioquímicos, sanguíneos e oxidativos de tilápias alimentadas com níveis crescentes de selênio: 0,53, 0,86, 1,04 e 1,22 mg kg-1. Foram utilizados 400 juvenis (peso inicial =36,51 ± 10,88 g), alimentados durante seis semanas. Não ocorreu efeito do selênio no crescimento, nem nos parâmetros bioquímicos e hematológicos dos peixes. Nos parâmetros oxidativos, ocorreu aumento nos níveis de tióis não-proteicos e diminuição de malondialdeído, evidenciando efeitos antioxidantes do selênio. Os níveis de selênio acima de 0.86 mg kg-1 melhoram o sistema antioxidante dos peixes e não compromete os parâmetros bioquímicos, sanguíneos e de crescimento de juvenis de tilápia.

Growth and digestive enzymes of silver catfish fed diets containing fruit residue / Crescimento e enzimas digestivas de jundiás alimentados com dietas contendo resíduos de frutas

In fish farming, the use of alternative ingredients has been studied, so that alternative sources can be used to minimize feed costs. This study evaluated the incorporation of grape, orange, guava, and fig residues in diets for silver catfish and its effects on growth, digestive enzymes and body composition. A total of 180 fish (initial mean weight = 22.93±0.75 g) were reared in a recirculation aquaculture system. There was no difference (P>0.05) in the parameters of growth, dry matter, mineral matter, plasma protein, cholesterol, triglycerides, lipase, and trypsin of fish. Glucose levels were higher in fish fed diets containing fig, orange, and grape residue (P<0.05). Lipase activity was higher in fish fed orange residue, compared to guava (P<0.05). Diets containing guava and fig provided more body protein in silver catfish. The fish fed with diet containing orange residue had a higher content of body lipids. It can be concluded that the tested fruit residues can be used in silver catfish feeding.(AU)

Na piscicultura, o uso de ingredientes alternativos vem sendo estudado, de modo que seja possível utilizar fontes alternativas para minimizar custos com a alimentação. Neste estudo, foi avaliada a incorporação de resíduos de uva, laranja, goiaba e figo em rações para jundiá e seus efeitos no crescimento, em enzimas digestivas e na composição corporal. Foram utilizados 180 peixes (peso médio inicial = 22,93±0,75 g), criados em sistema de recirculação. Não houve diferença (P>0,05) nos parâmetros de crescimento, matéria seca, matéria mineral, proteína plasmática, colesterol, triglicerídeos, lipase e tripsina dos peixes. Os níveis de glicose foram maiores nos peixes alimentados com dietas contendo figo, laranja e uva (P<0,05). A atividade de lipase foi maior nos peixes alimentados com resíduo de laranja, comparado com o de goiaba (P<0,05). As dietas contendo goiaba e figo proporcionaram mais proteína corporal nos jundiás. Os jundiás alimentados com dieta contendo resíduo de laranja apresentaram maior teor de lipídeos corporal. Conclui-se que os resíduos de frutas testados podem ser usados na alimentação do jundiá.(AU)

Diet selenium improves the antioxidant defense system of juveniles Nile tilapia ( Oreochromis niloticus L.).

From the advancement of tilapia production in recent years, diets are sought that allow the maximum growth, improving health and fish quality. In this study growth, biochemical, hematological and oxidative parameters were evaluated of tilapia fed with increasing selenium levels: 0.53, 0.86, 1.04 and 1.22 mg kg-1. It was used 400 juveniles (initial weight = 36.51 ± 10.88 g), fed for six weeks. There was no effect of selenium on fish growth, biochemical and hematological parameters. In the oxidative parameters, there was an increase in non-protein thiols and a decrease in malondialdehyde levels, evidencing antioxidant effects of selenium. The diet selenium levels above 0.86 mg kg-1 improved the antioxidant system and does not affect to biochemical, hematological and growth parameters of tilapia juveniles.

Diet selenium improves the antioxidant defense system of juveniles Nile tilapia ( Oreochromis niloticus L.)

Abstract From the advancement of tilapia production in recent years, diets are sought that allow the maximum growth, improving health and fish quality. In this study growth, biochemical, hematological and oxidative parameters were evaluated of tilapia fed with increasing selenium levels: 0.53, 0.86, 1.04 and 1.22 mg kg-1. It was used 400 juveniles (initial weight = 36.51 ± 10.88 g), fed for six weeks. There was no effect of selenium on fish growth, biochemical and hematological parameters. In the oxidative parameters, there was an increase in non-protein thiols and a decrease in malondialdehyde levels, evidencing antioxidant effects of selenium. The diet selenium levels above 0.86 mg kg-1 improved the antioxidant system and does not affect to biochemical, hematological and growth parameters of tilapia juveniles.

Resumo Com o avanço da produção de tilápia nos últimos anos, buscam-se dietas que possibilitem o máximo crescimento, saúde e qualidade do pescado. Neste trabalho foram avaliados parâmetros de crescimento, bioquímicos, sanguíneos e oxidativos de tilápias alimentadas com níveis crescentes de selênio: 0,53, 0,86, 1,04 e 1,22 mg kg-1. Foram utilizados 400 juvenis (peso inicial =36,51 ± 10,88 g), alimentados durante seis semanas. Não ocorreu efeito do selênio no crescimento, nem nos parâmetros bioquímicos e hematológicos dos peixes. Nos parâmetros oxidativos, ocorreu aumento nos níveis de tióis não-proteicos e diminuição de malondialdeído, evidenciando efeitos antioxidantes do selênio. Os níveis de selênio acima de 0.86 mg kg-1 melhoram o sistema antioxidante dos peixes e não compromete os parâmetros bioquímicos, sanguíneos e de crescimento de juvenis de tilápia.

Radical hysterectomy after chemoradiation in FIGO stage III cervical cancer patients versus chemoradiation and brachytherapy: Complications and 3-years survival.

BACKGROUND: To compare patterns and rates of early and late complications, and survival outcome in FIGO stage III cervical cancer patients underwent to radical hysterectomy after chemo-radiation (CT-RT) vs. chemo-radiation alone. METHODS: Between May 1996 and April 2013 150 FIGO stage III cervical cancer patients were treated. We divide patients according to type of treatment: 77 were submitted to standard treatment (Group A), and 73 to completion hysterectomy after chemo-radiation (Group B). RESULTS: The baseline characteristics of the 2 groups were superimposable. We observed lower intra-operative and treatment-related early urinary and gastro-intestinal complications in Group B with respect to Group A (p < 0.001). Vascular complications were registered only in Group B (p < 0.001). We found a significantly higher rate of local recurrences in the Group A than in the Group B (p < 0.002). We registered 29 deaths in the Group A and 22 in the Group B (p = 0.021). The 3-years disease-free survival rate in the Group A and in the Group B was 62.9% and 68.3%, respectively (p = 0.686), and the 3-years overall survival rate in the Group A and in the Group B was 63.2% and 67.7%, respectively (p = 0.675). CONCLUSIONS: This study confirms that radical hysterectomy after CT-RT is an effective therapeutic approach for advanced cervical cancer. Further prospective and randomized studies should be performed in order to solve the question about the standard approach, and how the different pattern of complication could impact on the quality of life.

A surveillance system of Invasive Pneumococcal Disease in North-Eastern Italy.

BACKGROUND: From 2007, in the Veneto Region (Italy), a surveillance system for invasive pneumococcal diseases (IPD) was implemented to estimate the regional epidemiology of IPD and to evaluate the impact of 13-valent pneumococcal conjugate vaccine (PCV13) vaccination. METHODS: Data were collected from 2007 to 2014 and the total, annual and age-specific IPD notification rates were calculated. A Poisson regression model was used to identify the possible risk factors for developing IPD. RESULTS: A total of 713 IPD cases were notified and the overall IPD notification rate was equal to 2.0 cases per 100,000 population (95% CI: 1.7-2.1), with an increasing trend between 2007 and 2014. The pneumococcal serotypes were identified in 608 (85.3%) isolates from biological specimens, and the most distributed serotypes were those contained in PCV13. Children <5 year-old and the adults over 65 year-old showed the highest PCV13 vaccine-type IPD notification rate, equal to 2.7/100,000 and 2.8/100,000, respectively. The risk to develop IPD was greater in children aged <5 years (RR = 8.9, 95% CI: 5.1-15.9; p<0.0001) and in adults aged >65 years (RR = 4.3, 95% CI: 2.7-6.9; p<0.0001), especially in males > 65 years of age (RR = 1.7, 95% CI: 1.0-2.8; p = 0.042). The invasive pneumococcal disease was mainly caused by the PCV13 serotypes (RR = 2.9, 95%CI: 2.3-3.9; p<0.0001), principally after the PCV13 introduction (RR = 2.3, 95% CI: 1.4-3.8; p<0.001). In spite of that, a significant reduction of the overall IPD incidence is evident in the period following the PCV13 vaccine introduction (RR = 0.4, 95% CI: 0.3-0.5; p<0.0001), particularly in children aged <5 years (RR = 0.3, 95% CI: 0.2-0.7; p = 0.002), demonstrating the real efficacy of PCV13 immunization for children. CONCLUSIONS: In the Veneto Region, the surveillance system has allowed to describe the detailed epidemiological profile of invasive pneumococcal disease, pointing out that the most circulating pneumococcal serotypes were those contained in the PCV13 vaccine.

Adaptive Mathematical Model of Tumor Response to Radiotherapy Based on CBCT Data.

Mathematical modeling of tumor response to radiotherapy has the potential of enhancing the quality of the treatment plan, which can be even tailored on an individual basis. Lack of extensive in vivo validation has prevented, however, reliable clinical translation of modeling outcomes. Image-guided radiotherapy is a consolidated treatment modality based on computed tomographic (CT) imaging for tumor delineation and volumetric cone beam CT data for periodic checks during treatment. In this study, a macroscopic model of tumor growth and radiation response is proposed, being able to adapt along the treatment course as volumetric tumor data become available. Model parameter learning was based on cone beam CT images in 13 uterine cervical cancer patients, subdivided into three groups (G1, G2, G3) according to tumor type and treatment. Three group-specific parameter sets (PS1, PS2, and PS3) on one general parameter set (PSa) were applied. The corresponding average model fitting errors were 14%, 18%, 13%, and 21%, respectively. The model adaptation testing was performed using volume data of three patients, other than the ones involved in the parameter learning. The extrapolation performance of the general model was improved, while comparable prediction errors were found for the group-specific approach. This suggests that an online parameter tuning can overcome the limitations of a suboptimal patient stratification, which appeared otherwise a critical issue.

Utilização de embalagens tetra pak(r) como isolante térmico no revestimento de escamoteadores para leitões / Using tetra pak(r) packaging as insulation coating piglets' creeps

Foram conduzidos dois experimentos em laboratório e em condições de campo para avaliação da eficiência térmica da embalagem Tetra Pak(r)como isolante térmico em escamoteadores aquecidos. No experimento em laboratório, foi utilizado o delineamento inteiramente ao acaso, adotando-se dois tratamentos (com e sem revestimento de embalagens Tetra Pak(r)) com 15 repetições (dias). O experimento em condições de campo foi conduzido na sala de maternidade de suínos. O delineamento foi inteiramente ao acaso, adotando-se dois tratamentos com 12 repetições. Os tratamentos foram: escamoteadores aquecidos com e sem revestimento interno com embalagem Tetra Pak(r). Foram medidos os dados de temperatura ambiente, umidade relativa do ar, temperatura superficial do piso, temperatura superficial da pele, comportamento e ganho de peso dos leitões lactentes. O uso da embalagem Tetra Pak(r)como isolante térmico no revestimento de escamoteadores manteve a temperatura ambiente confortável (32°C), proporcionando conforto térmico aos leitões lactentes.

Two experiments were conducted in laboratory and field conditions to evaluate the thermal efficiency of the Tetra Pak packaging as insulation in heated creeps. In the laboratory experiment a completely randomized design was used, adopting two treatments (with and without packaging coating with Tetra Pak(r)) with 15 repetitions (days). The experiment under field conditions was conducted in a swine nursery. The design was completely randomized, adopting two treatments with 12 repetitions. The treatments consisted of heated creep with and without Tetra Pak(r) lining. The data measured were ambient temperature, relative humidity, surface temperature of the floor, surface temperature of skin, behavior and weight gain of suckling piglets. The use of Tetra Pak(r) packaging as insulation in creep coating maintained the ambient temperature comfortable (32 °C), providing thermal comfort to suckling piglets.

Diferentes níveis de incorporação de farinha de resíduos de jundiás (Rhamdiaquelen) cultivados na dieta / Different levels of jundiá waste meal in the diet

O estudo foi desenvolvido no Laboratório de Piscicultura do Departamento de Zootecnia da Universidade Federal de Santa Maria, com duração de oito semanas, de abril a junho de 2011. O objetivo foi definir o melhor nível de incorporação do resíduo de peixes na alimentação de juvenis de jundiá, em sistema de recirculação d'água, utilizando-se 450 alevinos de jundiás, com peso médio inicial de 7,2±0,27g. Foram testadas cinco diferentes dietas, em três repetições, com níveis diferentes (0; 3,75; 7,5; 15; e 30 por cento) de incorporação de farinha de carcaça de jundiás com vísceras (FCJCV). As dietas continham, aproximadamente, 37 por cento de PB e 3200kcal de EM/kg de dieta. Foram coletados dados de ganho em peso diário, sobrevivência, fator de condição, taxa de crescimento específico, conversão alimentar aparente, rendimento de carcaça, taxa de eficiência proteica e deposição de proteína e lipídio corporal. O maior ganho de peso foi para o nível 30 por cento de inclusão de FCJCV, com peso final de 45,47g e ganho em peso diário de 0,68g/dia. A dieta com nível de 30% de inclusão de FCJCV apresentou melhores valores para taxa de crescimento específico (3,34 por cento/dia), conversão alimentar aparente (1,05: 1), biomassa final 1.105,45g, deposição proteica corporal (64,9mg/dia), taxa de eficiência proteica (1,9) e coeficiente de retenção proteica (1,96 por cento). Concluiu-se que a utilização de farinha de resíduos de processamento de jundiá no nível de 30% de inclusão na dieta foi a que apresentou maior eficiência no desenvolvimento de juvenis de jundiá...

The study was carried out at the Fish Farming Laboratory of the Animal Science Department, Federal University of Santa Maria, during 8 weeks, from April to June 2011. The objective of this study was to define the best level of incorporation of waste in food fish of juvenile Jundiá in water recirculation system using 450 fingerlings of jundiá with initial average weight of 7.2±0.27g. We tested 5 different diets in three repetitions with different levels of incorporation of carcasse jundiá with viscera meal (FCJCV) (0, 3.75, 7.5, 15, and 30 percent). The diets contained 37 percent CP and 3200kcal/kg of ME. Data were collected from daily weight gain, survival, condition factor, specific growth rate, feed conversion, carcass yield, protein efficiency ratio and deposition of body protein and lipid. The weight gain was greater with the inclusion of 30 percent FCJCV with final weight of 45.47g and daily weight gain of 0.68g/day. The diet with inclusion of 30 percent FCJCV showed better values for specific growth rate (3.34 percent/day), feed conversion ratio (1.05: 1), final biomass (1105.45g), body protein deposition (64.9mg/day), protein efficiency ratio (1.9) and protein retention coefficient (1.96 percent). In conclusion, the use of processing waste meal of jundiá in the level of 30 percent in the diet showed the highest efficiency in the development of juvenile jundiá...

Description of two new HLA-C alleles: C*08:63 and C*14:44.

Here, we present two new HLA allelic variants at C locus: HLA-C*08:63 and HLA-C*14:44 detected by sequence-based typing. In both cases, a single-nucleotide mutation in exon 3 is responsible for a change in aminoacid translation. The extremely high polymorphism of human leucocyte antigen (HLA) system in human genome is responsible for the capability to recognize different antigens, including non-self-MHC (Major Histocompatibility Complex) molecules. This very high polymorphism and the improving accuracy of genomic HLA typing methods lead to an exponential increasing of known HLA alleles. Here, we describe the characterization of two new HLA-C alleles identified by sequence-based typing (SBT): HLA-C*08:63 and HLA-C*14:44.

Experience of vaccination against invasive bacterial diseases in Veneto region (north east Italy).

The goal of this study was to describe and comment the experience of the Veneto Region in the bacterial invasive disease. Vaccination coverage was 93% against pneumococcus and 95% against haemophilus influenzae type B. Regard to meningococcus C the coverage rate was 90.1% In children, 81% at 6 years of age and 78.2% at 15 years. The preliminary data of an active surveillance of invasive bacterial diseases show that the Streptoccoccus pneumoniae was the main agent involved and that its consequences were particularly serious in elderly subjects. With regard to Neisseria meningitidis, we observed a substantial reduction in the number of cases due to serogroup C and a concomitant rise in the percentage of cases due to serogroup B. The suspension of mandatory vaccination should be maintained, the monitoring of vaccination coverage and the active surveillance proved to be a very good assessment tools.

Ractopamina na dieta da carpa húngara (Cyprnus carpio) criada em tanques-rede / Ractopamin in the diet of Hungarian Carp reared in net cages

Avaliou-se a utilização da ractopamina como promotor de crescimento para carpa húngara em experimento com 56 dias de duração, realizado em 12 tanques-rede de pequeno volume, utilizando-se 360 peixes com peso inicial de 18,64±1,25g. Foram testadas três quantidades de ractopamina, 7, 14 e 21ppm/kg, mais a dieta controle. Avaliaram-se o peso médio, o comprimento total, a altura, a taxa de crescimento específico e o fator de condição. Foram também analisadas a composição corporal, a deposição tecidual e a glicose plasmática dos peixes. Não foi observado efeito significativo da adição de ractopamina sobre as características de desempenho. Observou-se maior concentração de glicose, 61,67mg/dL, nos peixes alimentados sem a adição de ractopamina na dieta. A adição de ractopamina na dieta proporcionou maior quantidade de gordura corporal nos peixes e não afetou a quantidade de proteína. Conclui-se que a adição de ractopamina na dieta não é eficiente para juvenis de carpa húngara.

The use of ractopamine as a growth promoter for hungarian carp was evaluated in an experiment with a duration of 56 days, accomplished in 12 net cages of lower volume using 360 fish with initial weight of 18.64±1.25g. Three amounts of ractopamine, 7, 14 and 21ppm/kg, plus control diet were tested. The mean weight, total length, height, specific growth rate and condition factor were evaluated. Body composition, tissue deposition and fish plasmatic glucose were also analyzed. No significant effect of ractopamine addition was observed on the characteristics evaluated. A higher glucose concentration of 61.67mg/dL was observed in fish fed without the addition of ractopamine to the diet. The ractopamine inclusion in diets promotes higher body fat levels in fish and does not affect the amount of protein. The conclusion is that the addition of ractopamine in the diet is not efficient for hungarian carp juveniles.

Fontes energéticas vegetais para juvenis de jundiá e carpa / Plant-energy sources for jundiá and carp juvenile

Para avaliar o desempenho, o metabolismo e a composição corporal de juvenis de jundiá (Rhamdia quelen) e de carpa húngara (Cyprinus carpio) alimentados com fontes energéticas vegetais, foi conduzido experimento de 60 dias. Três dietas compostas por aveia descascada, farelo de arroz desengordurado estabilizado (FADE) ou por farelo de trigo e milho (dieta-controle) foram ofertadas três vezes ao dia a 360 juvenis de jundiá (5,59±0,06g) ou de carpa húngara (5,82±0,14g) distribuídos em 18 tanques (280L), totalizando nove tanques por espécie. Não foram observadas diferenças significativas no desempenho das espécies estudadas. Em relação aos parâmetros metabólicos, as menores concentrações séricas de colesterol total no jundiá foram verificadas nas dietas com aveia (214,49mg/dL) e FADE (216,3mg/dL), enquanto para a carpa húngara as menores concentrações observadas foram nos peixes alimentados com FADE (222,54mg/dL). Quanto à composição centesimal, os valores de gordura no filé foram menores nos jundiás dos tratamentos controle (3,76%) e aveia (3,95%). A inclusão de aveia proporcionou menor deposição de gordura corporal em ambas as espécies. Conclui-se que 20% de aveia descascada ou de farelo de arroz desengordurado podem ser incluídos na dieta de juvenis de jundiá e de carpa húngara sem prejuízos para o crescimento.

In order to evaluate the performance, metabolism and body composition of jundiá (Rhamdia quelen) and common carp (Cyprinus carpio) juvenile fed with plant-energy sources, the experiment was conducted during 60 days. Three diets composed of husked oats, defatted rice bran stabilized (FADE) or wheat bran and corn (control diet) were provided three times daily to 360 jundiá juveniles (5.59±0.06g) or common carp (5.82±0.14g) distributed into 18 tanks (280L), totaling nine tanks per species. There were no significant differences in performance parameters in both species. For metabolic parameters, the lowest serum levels of total cholesterol in jundiá were observed in diets containing oats (214,49mg/dL) and FADE (216,3mg/dL), while for the common carp the lowest levels were observed in fish fed FADE (222,54mg/dL). As for the composition, the fat in the fillet was lower in the jundiá from control (3,76%) and oats (3,95%) treatments, providing the lowest body fat deposition in both species. The inclusion of oats showed lower body fat deposition in both species. It is concluded that the inclusion of 20% stabilized husked oats or defatted rice bran in the diet of jundiá and common carp juvenile does no harm to growth.

Inflammatory cells, cytokines and matrix metalloproteinases in amicrobial pustulosis of the folds and other neutrophilic dermatoses.

Amicrobial pustulosis of the folds (APF) is a rare cutaneous disease characterized by relapsing sterile pustules frequently associated with autoimmune disorders. Although APF pathophysiology is still undefined, scattered reports suggest involvement of neutrophils. The aim of the present study is to evaluate the role of the skin inflammatory infiltrate, selected multifunctional cytokines and effectors of tissue damage in APF and other neutrophilic dermatoses. We studied, by immunohistochemical methods, inflammatory cell markers (CD3, CD163, myeloperoxidase), cytokines (TNF-alpha, IL-8, IL-17), metalloproteinases (MMP-2, MMP-9) and vascular-endothelial-growth-factor (VEGF) in lesional skin from six patients with APF, 11 with pyoderma gangrenosum (PG), 7 with Sweet's syndrome, and in 20 normal skin samples. Immunoreactivities of CD3, CD163, myeloperoxidase, TNF-alpha, IL-8, IL-17, MMP-2, MMP-9 and VEGF were significantly higher in APF, PG and Sweet's syndrome than in controls (p=0.0001). IL-8 was more expressed in PG than in APF (P=0.002) and Sweet's syndrome (p=0.001). In APF, MMP-9 reactivity was higher than in Sweet's syndrome (p=0.035), but less intense than in PG (p=0.020). Our study supports the role of proinflammatory cytokines/chemokines and MMPs as important effectors for the tissue damage in APF similarly to classic neutrophilic dermatoses.

Drug-induced subacute cutaneous lupus erythematosus: evidence for differences from its idiopathic counterpart.

BACKGROUND: Drug-induced subacute cutaneous lupus erythematosus (DI-SCLE) is a lupus variant with predominant skin involvement temporally related to drug exposure and resolving after drug discontinuation. It usually presents with annular polycyclic or papulosquamous eruptions on sun-exposed skin and shows serum anti-Ro/SSA antibodies. OBJECTIVES: To address the question whether DI-SCLE differs significantly from idiopathic SCLE by virtue of clinical features. METHODS: Ninety patients with SCLE seen in our departments from 2001 to 2010 were reviewed. Eleven of them diagnosed as having DI-SCLE were evaluated for type of skin lesions, systemic involvement, clinical course, and histopathological, direct immunofluorescence and laboratory findings. The cutaneous features were compared with those of the 79 patients with idiopathic SCLE. RESULTS: The cutaneous picture was widespread in 82% of patients with DI-SCLE and in 6% of those with idiopathic SCLE [odds ratio (OR) 66·6, 95% confidence interval (CI) 11·2-394·9; P = 0·0001]. Bullous and erythema multiforme (EM)-like lesions were present in 45% of patients with DI-SCLE and in 1% of those with idiopathic SCLE (OR 65·0, 95% CI 6·5-649·6; P = 0·0001). Vasculitic lesions were observed in 45% of patients with DI-SCLE and in 3% of those with idiopathic SCLE (OR 32·1, 95% CI 5·1-201·7; P = 0·0001). Malar rash occurred in 45% of patients with DI-SCLE and in 6% of those with idiopathic SCLE (OR 12·3, 95% CI 2·8-54·9; P = 0·001). Visceral manifestations were excluded in all patients with DI-SCLE. Anti-Ro/SSA antibodies were found in all but one patient with DI-SCLE and disappeared after resolution in 73% of cases. CONCLUSIONS: DI-SCLE differs from idiopathic SCLE by virtue of distinctive cutaneous features, particularly the widespread presentation and the frequent occurrence of malar rash and bullous, EM-like and vasculitic manifestations.

Stoichiometry-dependent chemical activity of supported MgO(100) films.

Here, we show that the stoichiometry and, consequently, the chemical activity toward hydroxylation of MgO(100) films grown by reactive deposition on Ag(100) strongly depend on the O(2) partial pressure during film growth. Oxygen-deficient films undergo dramatic relative oxygen uptake either by exposure to a partial pressure of water vapor or by aging in vacuum for a sufficiently long time. Conversely, on stoichiometric monolayer MgO islands, photoemission analysis of the O 1s level and scanning tunneling microscopy images are consistent with the prediction that dissociative adsorption of water occurs only at the borders of the islands.

[Robotic rectal resection in rectal cancer: short term results in a monocentric prospective study]. / Trattamento chirurgico del cancro del retto con tecnica robotica: risultati a breve termine di uno studio prospettico monocentrico.

AIM: The aim of this study was to evaluate technical feasibility, oncological safety and short-term clinical results of robotic rectal resection for cancer. METHODS: From January 2008 to July 2010, 46 patients (27 males and 19 females, median age 69 years, median BMI 24.6 kg/m2) with histologically-proven adenocarcinoma of medium and distal rectum were enrolled in a prospective database. Preoperative assessment was performed with colonoscopy with biopsies, thoraco-abdominal CT scan, pelvic MRI and endorectal-ultrasound (ERUS). In the case of locally advanced non metastatic disease (T3/4 or N1/2), patients received preoperative radiotherapy (45 Grays in 5 weeks) and chemotherapy (oral Capecitabine). The robotic system was a four-arms Da Vinci® (Intuitive Surgical, Sunnyvale, CA, USA); arms position is not modified during the entire surgical procedure. RESULTS: Twenty-five patients received a preoperative radio-chemotherapy. Surgical procedure was an abdomino-perineal amputation in nine patients and an anterior resection in the remaining 37, with temporary ileostomy in 16 cases and a laparoscopic mobilization of splenic flexure in 25. Median operative time was 251 minutes, median time of first bowel movements 1.7 days and median hospital stay 6.7 days. Major complications requiring reoperation verified in 2 patients, while overall complication rate is 15.2%. Median number of harvested lymph nodes per patient was 18; median distance of the tumour from distal resection margin was 2 cm; distance of the tumour from circumferential margin was superior to 1 mm in all of the patients. At a median follow up of 11 months, all patients are alive and disease-free. CONCLUSION: Robotic rectal resection is a feasible technique which can provide good oncological and short-term clinical results.