Novel hyperthermia applicator system allows adaptive treatment planning: Preliminary clinical results in tumour-bearing animals.

Hyperthermia (HT) as an adjuvant to radiation therapy (RT) is a multimodality treatment method to enhance therapeutic efficacy in different tumours. High demands are placed on the hardware and treatment planning software to guarantee adequately planned and applied HT treatments. The aim of this prospective study was to determine the effectiveness and safety of the novel HT system in tumour-bearing dogs and cats in terms of local response and toxicity as well as to compare planned with actual achieved data during heating. A novel applicator with a flexible number of elements and integrated closed-loop temperature feedback control system, and a tool for patient-specific treatment planning were used in a combined thermoradiotherapy protocol. Good agreement between predictions from planning and clinical outcome was found in 7 of 8 cases. Effective HT treatments were planned and verified with the novel system and provided improved quality of life in all but 1 patient. This individualized treatment planning and controlled heat exposure allows adaptive, flexible and safe HT treatments in palliatively treated animal patients.

A meta-analysis of studies on attitudes toward bears and wolves across Europe 1976-2012.

The ranges of wolves (Canis lupus) and bears (Ursus arctos) across Europe have expanded recently, and it is important to assess public attitudes toward this expansion because responses toward these species vary widely. General attitudes toward an object are good predictors of broad behavioral patterns; thus, attitudes toward wolves and bears can be used as indicators to assess the social foundation for future conservation efforts. However, most attitude surveys toward bears and wolves are limited in scope, both temporally and spatially, and provide only a snapshot of attitudes. To extend the results of individual surveys over a much larger temporal and geographical range so as to identify transnational patterns and changes in attitudes toward bears and wolves over time, we conducted a meta-analysis. Our analysis included 105 quantitative surveys conducted in 24 countries from 1976 to 2012. Across Europe, people's attitudes were more positive toward bears than wolves. Attitudes toward bears became more positive over time, but attitudes toward wolves seemed to become less favorable the longer people coexisted with them. Younger and more educated people had more positive attitudes toward wolves and bears than people who had experienced damage from these species, and farmers and hunters had less positive attitudes toward wolves than the general public. For bears attitudes among social groups did not differ. To inform conservation of large carnivores, we recommend that standardized longitudinal surveys be established to monitor changes in attitudes over time relative to carnivore population development. Our results emphasize the need for interdisciplinary research in this field and more advanced explanatory models capable of capturing individual and societal responses to changes in large carnivore policy and management.

Toenail infection by Cladophialophora boppii.

Cladophialophora boppii is a black yeast-like fungus that up to now has been only rarely described as a cause of human infection and whose role as a pathogen was not established despite its repeated isolation and genetic identification in these reports. Here we report the first case of a verified toenail infection caused by this fungus in a woman without any systemic disease or evidence of immunodeficiency. Identical dark molds were isolated from the same toenail at three points of time. Species identification was performed by scrutinizing the isolates morphologic, physiologic and genetic characteristics which resulted in their identification as Cladophialophora boppii. Oral treatment with terbinafin plus topical ciclopiroxolamine was effective.

CD8(+) T cell-mediated injury in vivo progresses in the absence of effector T cells.

Tissue injury is a common sequela of acute virus infection localized to a specific organ such as the lung. Tissue injury is an immediate consequence of infection with lytic viruses. It can also result from the direct destruction of infected cells by effector CD8(+) T lymphocytes and indirectly through the action of the T cell-derived proinflammatory cytokines and recruited inflammatory cells on infected and uninfected tissue. We have examined CD8(+) T cell-mediated pulmonary injury in a transgenic model in which adoptively transferred, virus-specific cytotoxic T lymphocytes (CTLs) produce lethal, progressive pulmonary injury in recipient mice expressing the viral target transgene exclusively in the lungs. We have found that over the 4-5 day course of the development of lethal pulmonary injury, the effector CTLs, while necessary for the induction of injury, are present only transiently (24-48 h) in the lung. We provide evidence that the target of the antiviral CD8(+) T cells, the transgene expressing type II alveolar cells, are not immediately destroyed by the effector T cells. Rather, after T cell-target interaction, the type II alveolar cells are stimulated to produce the chemokine monocyte chemoattractant protein 1. These results reinforce the concept that, in vivo, the cellular targets of specific CTLs may participate directly in the development of progressive tissue injury by activating in response to interaction with the T cells and producing proinflammatory mediators without sustained in vivo activation of CD8(+) T cell effectors.