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1.
Light Sci Appl ; 13(1): 31, 2024 Jan 26.
Artigo em Inglês | MEDLINE | ID: mdl-38272893

RESUMO

Quantum physics rules the dynamics of small objects as they interact over microscopic length scales. Nevertheless, quantum correlations involving macroscopic distances can be observed between entangled photons as well as in atomic gases and matter waves at low temperatures. The long-range nature of the electromagnetic coupling between charged particles and extended objects could also trigger quantum phenomena over large distances. Here, we reveal a manifestation of quantum mechanics that involves macroscopic distances and results in a nearly complete depletion of coherence associated with which-way free-electron interference produced by electron-radiation coupling in the presence of distant extended objects. This is a ubiquitous effect that we illustrate through a rigorous theoretical analysis of a two-path electron beam interacting with a semi-infinite metallic plate and find the inter-path coherence to vanish proportionally to the path separation at zero temperature and exponentially at finite temperature. The investigated regime of large distances originates in the coupling of the electron to radiative modes assisted by diffraction at material structures but without any involvement of material excitations. Besides the fundamental interest of this macroscopic quantum phenomenon, our results suggest an approach to measuring the vacuum temperature and nondestructively sensing the presence of distant objects.

2.
J Laparoendosc Adv Surg Tech A ; 33(10): 963-968, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37615525

RESUMO

Background: Staple-line reinforcement has been used to decrease complications such as staple-line bleeding (SLB) and staple-line leaks (SLLs) in patients undergoing laparoscopic sleeve gastrectomy (SG). There is little data comparing bioabsorbable mesh reinforcement (BMR) with oversewing the staple line (OSL). The aim of our study was to compare BMR with OSL in SG. Materials and Methods: This is a single-institution retrospective analysis comparing risks and benefits of BMR (group a) with those of OSL (group b) for SG staple-line reinforcement between 2015 and 2020. Results: In total, 857 patients were identified. There were 452 (52.74%) in group a and 405 (47.26%) in group b. SLB requiring transfusion occurred in 6 (1.32%) patients in group a and 6 (1.48%) patients in group b, NS (P = .848). Zero SLL was identified in either group. One-year mean direct cost of SG in group a was $7881 compared with $6677 in group b. Conclusion: This retrospective study showed that there was low risk of bleeding or leak with either technique of staple-line reinforcement and there was no significant difference in SLB or leak rate with bioabsorbable mesh versus oversewing. The use of bioabsorbable mesh was more expensive than oversewing.

3.
PLoS One ; 18(2): e0281805, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36795673

RESUMO

In perennial plants such as pecan, once reproductive maturity is attained, there are genetic switches that are regulated and required for flower development year after year. Pecan trees are heterodichogamous with both pistillate and staminate flowers produced on the same tree. Therefore, defining genes exclusively responsible for pistillate inflorescence and staminate inflorescence (catkin) initiation is challenging at best. To understand these genetic switches and their timing, this study analyzed catkin bloom and gene expression of lateral buds collected from a protogynous (Wichita) and a protandrous (Western) pecan cultivar in summer, autumn and spring. Our data showed that pistillate flowers in the current season on the same shoot negatively impacted catkin production on the protogynous 'Wichita' cultivar. Whereas fruit production the previous year on 'Wichita' had a positive effect on catkin production on the same shoot the following year. However, fruiting the previous year nor current year pistillate flower production had no significant effect on catkin production on 'Western' (protandrous cultivar) cultivar. The RNA-Seq results present more significant differences between the fruiting and non-fruiting shoots of the 'Wichita' cultivar compared to the 'Western' cultivar, revealing the genetic signals likely responsible for catkin production. Our data presented here, indicates the genes showing expression for the initiation of both types of flowers the season before bloom.


Assuntos
Carya , Carya/genética , Cone de Plantas , Flores/genética , Frutas , Perfilação da Expressão Gênica
4.
Plant Methods ; 19(1): 6, 2023 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-36670477

RESUMO

BACKGROUND: As a result of the technological progress, the use of sensors for crop survey has substantially increased, generating valuable information for modelling agricultural data. Plant spectroscopy jointly with statistical modeling can potentially help to assess certain chemical components of interest present in plants, which may be laborious and expensive to obtain by direct measurements. In this research, the phosphorus content in wheat grain is modeled using reflectance information measured by a hyperspectral sensor at different wavelengths. A Bayesian procedure for selecting variables was used to identify the set of the most important spectral bands. Additionally, three different models were evaluated: the first model assumes that the observations are independent, the other two models assume that the observations are spatially correlated: one of the proposed models, assumes spatial dependence using a Conditionally Autoregressive Model (CAR), and the other through an exponential correlogram. The goodness of fit of the models was evaluated by means of the Deviance Information Criterion, and the predictive power is evaluated using cross validation. RESULTS: We have found that CAR was the model that best fits and predicts the data. Additionally, the selection variable procedure in the CAR model reveals which wavelengths in the range of 500-690 nm are the most important. Comparing the vegetative indices with the CAR model, it was observed that the average correlation of the CAR model exceeded that of the vegetative indices by 23.26%, - 1.2% and 22.78% for the year 2010, 2011 and 2012 respectively; therefore, the use of the proposed methodology outperformed the vegetative indices in prediction. CONCLUSIONS: The proposal to predict the phosphorus content in wheat grain using Bayesian approach, reflect with the results as a good alternative.

5.
Plants (Basel) ; 12(2)2023 Jan 12.
Artigo em Inglês | MEDLINE | ID: mdl-36679073

RESUMO

Carya illinoinensis (Wangenh.) K.Koch production has expanded beyond the native distribution as the genetic diversity of the species, in part, has allowed the trees to grow under broad geographic and climatic ranges. Research in other plant species has demonstrated that the phytobiome enhances their ability to survive and thrive in specific environments and, conversely, is influenced by the prevailing environment and plant genetics, among other factors. We sought to analyze the microbiota of pecan seedlings from the controlled cross 'Lakota' × 'Oaxaca' that were made in Georgia and Texas, respectively, to determine if the maternal geographical origin influences the microbiome of the resulting progeny. No significant differences in bacterial communities were observed between the seeds obtained from the two different states (p = 0.081). However, seed origin did induce significant differences in leaf fungal composition (p = 0.012). Results suggest that, in addition to some environmental, epigenetics, or host genetic components, ecological processes, such as dispersal mechanisms of the host, differentially impact the pecan microbiome, which may have ramifications for the health of trees grown in different environments. Future studies on the role of the microbiome in plant health and productivity will aid in the development of sustainable agriculture for improved food security.

6.
J Appl Stat ; 49(12): 3195-3214, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36035606

RESUMO

Model-based learning of organism dynamics is challenging, particularly when modeling count correlated data. In this paper, we adapt the multivariate Poisson distribution to model nematode dynamics. This distribution relaxes the mean-equal-variance property of the univariate Poisson distribution and allows recovery of the correlation among nematode genera. An observational dataset with 68 soil samples, 11 nematode genera, and 12 soil parameters is analyzed. The Spike and Slab Variable Selection procedure is adapted to obtain parsimonious models for the nematode occurrence. Nematode genus to genus interaction is assessed through the correlation matrix of the model. A simulation study validated the model's implementation. As a result, the model determined the most important covariates for each nematode and classified pairs of nematodes as: sympathetic, antagonistic or neutral, based on their estimated correlations. The model is useful for researchers and practitioners interested in studying population dynamics. In particular, the current results are important inputs when planning strategies for improving or managing soil health regarding nematodes.

7.
J Environ Qual ; 51(2): 228-237, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-35023575

RESUMO

Although treated effluent is being increasingly used to irrigate mature turfgrass, information on its use to establish grass is limited. Greenhouse experiments were conducted in 2015 and 2017 to examine establishment and nitrate leaching from three warm-season grasses: buffalograss [Buchloe dactyloides (Natt.) Eng.] 'SWI 2000', inland saltgrass [Distichlis spicata (L.) Greene], and bermudagrass [Cynodon dactylon (L.) Pers.] 'Princess77'. All grasses were grown with tailored (tertiary treated effluent with 15 mg L-1 of NO3 -N) water. Grasses were established from seed in a loamy sand and irrigated with either tailored or potable water plus granular Ca(NO3 )2 fertilizer. Leachate collected at 10- and 30-cm depths was analyzed for NO3 -N and electrical conductivity. Overall, establishment was faster and coverage was greater in 2015 than in 2017, but neither differed between irrigation treatments when grasses were analyzed separately. At the end of both establishment periods, bermudagrass and buffalograss coverage was generally greater than that of inland saltgrass. In 2017, bermudagrass irrigated with tailored water resulted in greater coverage than buffalograss or inland saltgrass. In 2015, nitrate concentrations were greater in leachate collected from bermudagrass and inland saltgrass irrigated with tailored water than from grasses irrigated with potable water. Nitrate concentrations in leachate were generally lower in 2017, reaching a maximum value of 65.3 mg L-1 when averaged over all treatment combinations, and did not differ between treatments. Our data suggest that the three grasses studied can be successfully established from seed using tailored waters.


Assuntos
Nitratos , Nitrogênio , Fertilizantes , Estações do Ano , Água
8.
J Environ Qual ; 51(2): 238-249, 2022 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34870854

RESUMO

Greenhouse experiments were conducted in 2015 and 2017 to assess the feasibility of establishing three warm-season grasses-buffalograss [Buchloe dactyloides (Natt.) Eng.] 'SWI 2000', inland saltgrass (Distichlis spicata L.), and bermudagrass (Cynodon dactylon L.) 'Princess77'-with tailored water (tertiary treated effluent with 15 mg L-1 of NO3 -N) and to examine the impact on nitrate accumulation in soils and plant tissue and on root development. Grasses were established from seed in a loamy sand and irrigated with either tailored or potable water plus granular Ca(NO3 )2 fertilizer. Leachate collected at 10- and 30-cm depths was analyzed for NO3 -N and electrical conductivity. Root samples were collected to measure root length density (RLD) and root surface area (RSA). Weekly clippings were collected to determine total clipping yield and measure N content. Generally, there was no difference in establishment, RLD, or RSA between the two irrigation treatments. Highest RLD values were reported for bermudagrass, followed by buffalograss and inland saltgrass. Correlation analyses suggest that nitrate levels in leachate were lower in faster-growing grasses and in grasses with more extensive root systems, compared with slower-growing grasses with less roots, regardless of fertilization treatment. Total N in clippings was highest in inland saltgrass and lower in buffalograss and bermudagrass, indicating that N was limiting for faster-growing grasses. More research is needed to determine optimal N rates for establishing grasses that both optimize growth and minimize nitrate leaching.


Assuntos
Nitratos , Solo , Fertilizantes/análise , Nitratos/análise , Nitrogênio/análise , Estações do Ano , Água
9.
PLoS One ; 16(11): e0260164, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34847149

RESUMO

OBJECTIVE: Determine whether an individual is at greater risk of severe acute respiratory distress syndrome coronavirus 2 (SARS-CoV-2) infection because of their community or their individual risk factors. STUDY DESIGN AND SETTING: 4,752 records from two large prevalence studies in New Orleans and Baton Rouge, Louisiana were used to assess whether zip code tabulation areas (ZCTA)-level area deprivation index (ADI) or individual factors accounted for risk of infection. Logistic regression models assessed associations of individual-level demographic and socioeconomic factors and the zip code-level ADI with SARS-CoV-2 infection. RESULTS: In the unadjusted model, there were increased odds of infection among participants residing in high versus low ADI (both cities) and high versus mid-level ADI (Baton Rouge only) zip codes. When individual-level covariates were included, the odds of infection remained higher only among Baton Rouge participants who resided in high versus mid-level ADI ZCTAs. Several individual factors contributed to infection risk. After adjustment for ADI, race and age (Baton Rouge) and race, marital status, household size, and comorbidities (New Orleans) were significant. CONCLUSIONS: While higher ADI was associated with higher risk of SARS-CoV-2 infection, individual-level participant characteristics accounted for a significant proportion of this association. Additionally, stage of the pandemic may affect individual risk factors for infection.


Assuntos
COVID-19/epidemiologia , COVID-19/virologia , Características de Residência , SARS-CoV-2/fisiologia , Privação Social , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Cidades , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Orleans , Probabilidade , Fatores de Risco , Estudos Soroepidemiológicos , Fatores de Tempo , Adulto Jovem
10.
Ochsner J ; 21(3): 249-253, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34566505

RESUMO

Background: Opioid-induced androgen deficiency (OPIAD) related to chronic, long-acting opioid use can be a significant detriment to patient quality of life. The aim of this study was to investigate the association between chronic opioid use and hypogonadism. Methods: A single-center, retrospective, matched case-control analysis of 357 males (94 cases, 263 controls, aiming for 1:4 matching) was performed. Study subjects were ages 18 to 80 years and had a diagnosis of chronic opioid use. Patients with a hypogonadism diagnosis were matched to patients without a hypogonadism diagnosis by age, ethnicity, and body mass index. The maximum morphine equivalent daily dose (MEDD) was compared in each group. Results: A significant linear association between MEDD and the odds of developing hypogonadism (P<0.001) in males with chronic use of opioids was observed, with an odds ratio of 1.44 (95% CI 1.16-1.78) by 100-unit difference in maximum MEDD. Conclusion: Results showed a significant, positive linear association between chronic opioid dose and the odds of developing hypogonadism in males. This higher index of suspicion of OPIAD could lead to earlier recognition of symptoms and increase the positive predictive value of diagnostic laboratory tests.

11.
Front Genet ; 12: 680569, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34220954

RESUMO

Genomic selection (GS) is a technology used for genetic improvement, and it has many advantages over phenotype-based selection. There are several statistical models that adequately approach the statistical challenges in GS, such as in linear mixed models (LMMs). An active area of research is the development of software for fitting LMMs mainly used to make genome-based predictions. The lme4 is the standard package for fitting linear and generalized LMMs in the R-package, but its use for genetic analysis is limited because it does not allow the correlation between individuals or groups of individuals to be defined. This article describes the new lme4GS package for R, which is focused on fitting LMMs with covariance structures defined by the user, bandwidth selection, and genomic prediction. The new package is focused on genomic prediction of the models used in GS and can fit LMMs using different variance-covariance matrices. Several examples of GS models are presented using this package as well as the analysis using real data.

13.
Clin Microbiol Infect ; 27(4): 633.e9-633.e16, 2021 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-33421576

RESUMO

OBJECTIVE: While many seroprevalence studies of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) have been performed, few are demographically representative. This investigation focused on defining the nature and frequency of symptomatic and asymptomatic SARS-CoV-2 infection in a representative, cross-sectional sample of communities in Louisiana, USA. METHODS: A sample of 4778 adults from New Orleans and Baton Rouge, Louisiana were given a survey of symptoms and co-morbidities, nasopharyngeal swab to test for active infection (PCR), and blood draw to test for past infection (IgG). Odds ratios, cluster analysis, quantification of virus and antibody, and linear modelling were used to understand whether certain symptoms were associated with a positive test, how symptoms grouped together, whether virus or antibody varied by symptom status, and whether being symptomatic was different across the age span. RESULTS: Reported anosmia/ageusia was strongly associated with a positive test; 40.6% (93/229) tested positive versus 4.8% (218/4549) positivity in those who did not report anosmia/ageusia (OR 13.6, 95% CI 10.1-18.3). Of the people who tested positive, 47.3% (147/311) were completely asymptomatic. Symptom presentation clustered into three groups; low/no symptoms (0.4 ± 0.9, mean ± SD), highly symptomatic (7.5 ± 1.9) or moderately symptomatic (4.0 ± 1.5). Quantity of virus was lower in the asymptomatic versus symptomatic group (cycle number 23.3 ± 8.3 versus 17.3 ± 9.0; p < 0.001). Modelling the probability of symptoms showed changes with age; the highest probability of reporting symptoms was 64.6% (95% CI 50.4-76.5) at age 29 years, which decreased to a probability of 49.3% (95% CI 36.6-62.0) at age 60 years and only 25.1% (95% CI 5.0-68.1) at age 80 years. CONCLUSION: Anosmia/ageusia can be used to differentiate SARS-CoV-2 infection from other illnesses, and, given the high ratio of asymptomatic individuals, contact tracing should include those without symptoms. Regular testing in congregant settings of those over age 60 years may help mitigate asymptomatic spread.


Assuntos
Ageusia/diagnóstico , Anosmia/diagnóstico , Infecções Assintomáticas/epidemiologia , COVID-19/diagnóstico , COVID-19/epidemiologia , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Anticorpos Antivirais/sangue , Teste de Ácido Nucleico para COVID-19 , Teste Sorológico para COVID-19 , Comorbidade , Estudos Transversais , Feminino , Humanos , Imunoglobulina G/sangue , Louisiana/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , SARS-CoV-2/imunologia
14.
Emerg Infect Dis ; 27(1)2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-33171096

RESUMO

By using paired molecular and antibody testing for severe acute respiratory syndrome coronavirus 2 infection, we determined point prevalence and seroprevalence in Louisiana, USA, during the second phase of reopening. Infections were highly variable by race and ethnicity, work environment, and ZIP code. Census-weighted seroprevalence was 3.6%, and point prevalence was 3.0%.


Assuntos
COVID-19/sangue , COVID-19/epidemiologia , Grupos Raciais , SARS-CoV-2 , Fatores Socioeconômicos , Local de Trabalho , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Louisiana/epidemiologia , Masculino , Pessoa de Meia-Idade , Estudos Soroepidemiológicos , Adulto Jovem
15.
Emerg Infect Dis ; 26(11): 2766-2769, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32731911

RESUMO

Using a novel recruitment method and paired molecular and antibody testing for severe acute respiratory syndrome coronavirus 2 infection, we determined seroprevalence in a racially diverse municipality in Louisiana, USA. Infections were highly variable by ZIP code and differed by race/ethnicity. Overall census-weighted seroprevalence was 6.9%, and the calculated infection fatality ratio was 1.63%.


Assuntos
Anticorpos Antivirais/sangue , Betacoronavirus , Técnicas de Laboratório Clínico/estatística & dados numéricos , Infecções por Coronavirus/mortalidade , Pneumonia Viral/mortalidade , RNA Viral/sangue , Adulto , Idoso , Betacoronavirus/genética , Betacoronavirus/imunologia , COVID-19 , Teste para COVID-19 , Infecções por Coronavirus/sangue , Infecções por Coronavirus/diagnóstico , Feminino , Humanos , Louisiana/epidemiologia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/sangue , SARS-CoV-2 , Estudos Soroepidemiológicos
16.
Curr Eye Res ; 43(8): 981-985, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29673273

RESUMO

PURPOSE: To measure the long-term effects of frontalis slings with fascial tissues on the downward eyelid saccadic movements Methods: Downward lid saccades for 10, 20, 30, 40, and 50 degrees of downgaze were measured in a sample of 19 patients with congenital ptosis who underwent frontalis slings with fascia lata (autogenous and banked) and temporalis fascia. Mean postoperative time was 10.7 years ± 3.8 SD. Seventeen age-matched normal subjects comprised the control group. Lid movements as well as the magnitude of brow motion were quantified in all participants with an opto-electronic device that automatically corrected any head movement. RESULTS: Most patients (77.4%) displayed lagophthalmos on eyelid closure. The lid saccades of the patients were severely restricted and did not increase beyond 30 degrees of downgaze. The maximum velocity of lid saccades was also abnormally low. Although the pre- and postoperative lid positions did not differ between eyes operated with the three types of slings, interocular analysis of patients who had bilateral surgery showed that the restrictive effect on the saccadic movements was more asymmetrical with banked fascia than with autogenous tissue. Overall, there was a significant negative correlation between the surgical effect with frontalis contraction and maximum saccadic amplitude. While in controls brow motion accounted for about 3.3-9.3% of the lid saccades, it was responsible for more than 43.5-57.4% lid movements in the patients. CONCLUSION: Fascial slings have a permanent restrictive effect on the elastic properties of the lids. Postoperative lagophthalmos is a natural consequence of any type of fascial sling. Downward saccadic amplitude is negatively correlated with the surgical effect with frontalis contraction.


Assuntos
Blefaroplastia/métodos , Blefaroptose/cirurgia , Piscadela/fisiologia , Pálpebras/fisiopatologia , Fáscia/transplante , Previsões , Movimentos Sacádicos/fisiologia , Adolescente , Adulto , Blefaroptose/congênito , Blefaroptose/fisiopatologia , Criança , Elasticidade , Pálpebras/cirurgia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Resultado do Tratamento , Adulto Jovem
18.
Ophthalmic Plast Reconstr Surg ; 32(3): 161-9, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26784547

RESUMO

PURPOSE: Graves lower eyelid retraction (GLLR) is a common and controversial sign of Graves orbitopathy. The authors reviewed the mechanisms and surgical techniques currently used to correct this Graves orbitopathy-related eyelid malposition. METHODS: A literature search was performed on the MEDLINE database using the keywords "lower eyelid retraction," "Graves orbitopathy," "thyroid ophthalmopathy," "thyroid eye disease," "spacers," and "eyelid surgery." Only articles in English were included. The level of evidence of publications regarding surgical correction of GLLR was evaluated and graded from I to IV, using a rating system adapted from a validated scientific evidence classification method. RESULTS: The mechanisms responsible for GLLR are not fully understood and no subtypes of GLLR have been distinguished. The surgical literature of GLLR encompasses mainly descriptions of surgical techniques without objective measurements of the results, and uncontrolled studies. Only 1 randomized controlled trial was identified. To lengthen the lower retractors, a large variety of different materials have been used as spacers. CONCLUSIONS: The scientific literature on GLLR is vast, however controlled and randomized studies comparing different surgical techniques are lacking. At the present moment it is not clear if bioengineered materials are superior to conventional autogeneous tissue as lower eyelid spacers. The effects of GLLR on lower eyelid movements and contour have not been studied.


Assuntos
Blefaroplastia/métodos , Descompressão Cirúrgica/métodos , Pálpebras/cirurgia , Oftalmopatia de Graves/cirurgia , Humanos
19.
Pediatr Hematol Oncol ; 32(5): 315-21, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25918820

RESUMO

Infections remain a serious complication in pediatric oncology patients. To determine if daily bathing with Chlorhexidine gluconate can decrease the rate of nosocomial infection in pediatric oncology patients, we reviewed rates of infections in pediatric oncology patients over a 14-month span. Intervention group received daily bath with Chlorhexidine, while the control group did not receive daily bath. The results showed that daily bath with antiseptic chlorhexidine as daily prophylactic antiseptic topical wash leads to decreased infection density amongst the pediatric oncology patients, especially in patients older than 12 years of age. Furthermore, daily chlorhexidine bathing significantly reduced the rate of hospital acquired infection in patients older than 12 years of age. The findings of this study suggest that daily bathing with chlorhexidine may be an effective measure of reducing nosocomial infection in pediatric oncology patients.


Assuntos
Banhos , Clorexidina/administração & dosagem , Infecção Hospitalar/prevenção & controle , Neoplasias/terapia , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Nova Orleans , Estudos Retrospectivos
20.
Cutis ; 94(5): 226-30, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25474450

RESUMO

Measurement of tumor volume may be a helpful adjunct to established prognostic factors in cutaneous melanoma, including Breslow depth, presence or absence of ulceration, mitotic index, lymphovascular invasion, and microsatellites. This report expands on the theory that a tumor volume cutoff point of 250 mm³ as measured by surface area of the lesion (ie, longest vertical and horizontal measurements either based on clinical or gross pathological assessment) multiplied by the Breslow depth could serve as a potentially relevant predictor of sentinel lymph node (SLN) metastasis in both thin and thick invasive cutaneous melanomas, which prompted investigation of a larger sample size using the pathology database at our institution.


Assuntos
Metástase Linfática/diagnóstico , Melanoma , Biópsia de Linfonodo Sentinela/métodos , Neoplasias Cutâneas , Carga Tumoral , Pesquisa Comparativa da Efetividade , Humanos , Modelos Logísticos , Melanoma/diagnóstico , Melanoma/patologia , Invasividade Neoplásica , Valor Preditivo dos Testes , Prognóstico , Medição de Risco/métodos , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Melanoma Maligno Cutâneo
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