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1.
HNO ; 66(4): 280-289, 2018 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-29222682

RESUMEN

The human nose takes primary responsibility for preconditioning inhaled air. Numerous pathologies can affect the physiology of the nose. The beginnings of flow analyzes were carried out with three-dimensional casting models and differently colored liquids. Temperature and humidity could not be taken into account. Today, much more complex analyzes are possible using computational fluid dynamics (CFD), which are based on three-dimensional models generated from computed tomography (CT) or magnetic resonance imaging (MRI) datasets. Here, flow velocities, temperature, humidity, and pressure differences can be simulated and displayed in high-resolution videos as a function of multiple boundary conditions. The analysis of pathological changes or surgical interventions is thereby possible.


Asunto(s)
Hidrodinámica , Nariz , Simulación por Computador , Humanos , Imagenología Tridimensional , Imagen por Resonancia Magnética , Modelos Anatómicos , Nariz/diagnóstico por imagen , Nariz/fisiología , Tomografía Computarizada por Rayos X
2.
Bull Environ Contam Toxicol ; 97(2): 244-8, 2016 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27225509

RESUMEN

Standard procedures do not exist for drying and storage of plant samples prior to chemical analyses. Since immediate analysis is not always possible, current research examined which plant drying and storage method yielded the highest cyfluthrin recovery rates compared to traditional mechanical freeze-drying methods. Fifteen mesocosms were planted with rice. Cyfluthrin (5 mg L(-1)) was amended into the water column of individual mesocosms. 48 h later, plant material in the water column was collected from each mesocosm. Control (mechanical freeze drying) recovery was significantly greater (p < 0.001) than all 14 combinations of drying and storage. Significant differences also existed between all 14 different combinations. Greatest cyfluthrin recoveries in non-control plants were from the freezer-greenhouse-freezer drying and storage method. Results offer evidence for the efficient plant drying and storage methods prior to cyfluthrin analysis. Future studies should perform comparable analyses on various pesticide classes to determine possible relationships.


Asunto(s)
Insecticidas/análisis , Nitrilos/análisis , Plantas/química , Piretrinas/análisis , Desecación , Monitoreo del Ambiente , Liofilización , Insecticidas/química , Nitrilos/química , Piretrinas/química
3.
Laryngorhinootologie ; 93(11): 746-50, 2014 Nov.
Artículo en Alemán | MEDLINE | ID: mdl-25369158

RESUMEN

INTRODUCTION: The nose is responsible for humidification, heating and cleaning of the inhaled air. The sneeze reflex leads to a shock-like cleaning of the nose in strong particle exposure. The aim of this study was the simulation of intranasal air flow of sneezing in a realistic computer model. MATERIALS AND METHODS: Based on the CT scan of a 40 year old man a three-dimensional computer model of the nasal cavity and the ethmoid sinuses was created. Flow simulations were performed for different inspiratory and expiratory velocities (± 2 m/s to ± 45 m/s) in order to simulate sneezing. RESULTS were visualized and analyzed by video simulation. RESULTS: During inspiration the main airflow takes place along the middle turbinate. During expiration, the flow is located more cranially. This effect is caused by the shape of the nasopharynx and the posterior portions of the nasal turbinates. During very high speeds (sneezing) also adjacent ethmoid sinuses and the olfactory region are covered by the shock-like expiratory flow. A large vortex formation in the nasopharynx is responsible for a uniform distribution of the airflow also on lower nasal areas. CONCLUSION: Sneezing is a protective reflex that provides for cleaning of the nose. From a flow rate of 10 m/s, the cranial nasal areas as well as adjacent ethmoid sinuses are covered by the -airflow. Compared to the inspiratory airflow the exhalation is not just vice versa. Particles that deposed in the cranial nasal areas during quiet breathing are removed.


Asunto(s)
Simulación por Computador , Senos Etmoidales/fisiología , Imagenología Tridimensional , Cavidad Nasal/fisiología , Ventilación Pulmonar/fisiología , Estornudo/fisiología , Tomografía Computarizada por Rayos X , Grabación en Video , Adulto , Espiración/fisiología , Humanos , Inhalación/fisiología , Masculino , Mucosa Nasal/fisiología , Nasofaringe/fisiología , Cornetes Nasales/fisiología
4.
Bull Environ Contam Toxicol ; 92(5): 503-8, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24526283

RESUMEN

The smallmouth buffalo Ictiobus bubalus is a native benthivore to floodplain lakes in the Yazoo River Basin, USA. Based on evidence from other benthivorous fish studies we hypothesized high biomasses of I. bubalus contribute to poor water quality conditions. We tested this hypothesis in shallow (<1.5 m) 0.05 ha earthen ponds at three stocking biomasses over a 10-week period during the summer of 2012. The most notable results from the permutational multivariate analysis of variance suggest I. bubalus at high and moderate biomasses significantly (p < 0.05) enhanced turbidity and suspended solid levels while decreasing Secchi depth. Our results suggest that effects of I. bubalus on water clarity may have considerable ecological implications in natural habitats such as shallow floodplain lakes.


Asunto(s)
Cipriniformes/fisiología , Contaminantes Químicos del Agua/análisis , Animales , Biomasa , Cipriniformes/crecimiento & desarrollo , Eutrofización , Nitrógeno/análisis , Oxígeno/análisis , Fósforo/análisis , Crecimiento Demográfico , Calidad del Agua
5.
Bull Environ Contam Toxicol ; 93(5): 574-9, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25145638

RESUMEN

Vegetated buffers of different designs are often used as edge-of-field treatment practices to remove pesticides that may be entrained in agricultural runoff. However, buffer system efficacy in pesticide runoff mitigation varies widely due to a multitude of factors including, but not limited to, pesticide chemistry, vegetation composition, and hydrology. Two experimental systems, a control (no vegetation) and a grass-wetland buffer system, were evaluated for their ability to retain diazinon and permethrin associated with a simulated storm runoff. The two systems were equally inefficient at retaining diazinon (mean 9.6 % retention for control and buffer). Grass-wetland buffers retained 83 % and 85 % of cis- and trans-permethrin masses, respectively, while the control only retained 39 % and 44 % of cis- and trans-permethrin masses, respectively. Half-distances (the distance required to decrease pesticide concentration by one-half) for both permethrin isomers were 26 %-30 % shorter in grass buffers (22-23 m) than in the control (32 m). The current study demonstrates treatment efficacy was a function of pesticide properties with the more strongly sorbing permethrin retained to a greater degree. The study also demonstrates challenges in remediating multiple pesticides with a single management practice. By using suites of management practices, especially those employing vegetation, better mitigation of pesticide impacts may be accomplished.


Asunto(s)
Diazinón/aislamiento & purificación , Diazinón/metabolismo , Permetrina/aislamiento & purificación , Permetrina/metabolismo , Poaceae/metabolismo , Humedales , Agricultura , Biodegradación Ambiental , Semivida , Contaminantes Químicos del Agua/aislamiento & purificación , Contaminantes Químicos del Agua/metabolismo
6.
J Environ Qual ; 42(5): 1480-5, 2013 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24216425

RESUMEN

Low-grade weirs are controlled surface drainage management structures that are being advocated for improving water quality of downstream ecosystems within agricultural landscapes. Low-grade weirs are small controlled drainage structures that are placed in series in an agricultural drainage ditch to create biogeochemical conditions for enhanced nutrient retention but also to slow runoff velocities and encourage sedimentation. This study evaluated eight low-grade weirs for sediment and P accumulation in agricultural drainage ditches 1 yr after installation. On average, sediment (weir: 54 ± 25cm; reference: 13 ± 7 cm; ≤ 0.001) and water (weir: 9 ± 7cm; reference: 1.16 ± 2 cm; ≤ 0.05) depth was greater upstream of weirs when compared within ditch references sites. There were no significant differences in total P concentrations of sediments or between any P fractions between 1-yr-old weirs and their respective references. Bioavailability ratios of P (i.e., the ratio of potentially bioavailable to nonbioavailable P fractions) were also found to be similar between weir and reference sites. Based on these results, weirs increase the hydrological capacity of drainage ditches and significantly retain more sediment and P within the drainage ditch within 1 yr of construction. Future research will examine temporal changes in weir sediments and associated P concentrations to aid our understanding of how maintenance of weirs should occur to maximize physical and chemical characteristics for greatest sediment and P retention.


Asunto(s)
Fósforo , Contaminantes Químicos del Agua , Agricultura , Drenaje , Ambiente , Sedimentos Geológicos/química , Fósforo/química , Movimientos del Agua
7.
Rhinology ; 50(2): 157-64, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22616076

RESUMEN

BACKGROUND: The temperature of inhaled air is highly relevant for the humidification process. Narrow anatomical conditions limit possibilities for in vivo measurements. Numerical simulations offer a great potential to examine the function of the human nose. OBJECTIVE: In the present study, the nasal humidification of inhaled air was simulated simultaneously with temperature distribution during a respiratory cycle. METHODS: A realistic nose model based on a multislice CT scan was created. The simulation was performed by the Software Fluent(r). Boundary conditions were based on previous in vivo measurements. Inhaled air had a temperature of 20(deg)C and relative humidity of 30%. The wall temperature was assumed to be variable from 34(deg)C to 30(deg)C with constant humidity saturation of 100% during the respiratory cycle. RESULTS: A substantial increase in temperature and humidity can be observed after passing the nasal valve area. Areas with high speed air flow, e.g. the space around the turbinates, show an intensive humidification and heating potential. Inspired air reaches 95% humidity and 28(deg)C within the nasopharynx. CONCLUSION: The human nose features an enormous humidification and heating capability. Warming and humidification are dependent on each other and show a similar spacial pattern. Concerning the climatisation function, the middle turbinate is of high importance. In contrast to in vivo measurements, numerical simulations can explore the impact of airflow distribution on nasal air conditioning. They are an effective method to investigate nasal pathologies and impacts of surgical procedures.


Asunto(s)
Temperatura Corporal , Inhalación/fisiología , Nariz/fisiología , Adulto , Femenino , Humanos , Humedad , Masculino , Modelos Anatómicos , Cornetes Nasales/fisiología
8.
Arch Environ Contam Toxicol ; 59(4): 574-81, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20387062

RESUMEN

Rice (Oryza sativa L.) is one of the most important food crops worldwide. However, it is also a valuable tool in assessing toxicity of organic and inorganic compounds. For more than 20 years, it has been an approved species for standardized phytotoxicity experiments. The objective of this study is to determine germination and radicle (root) and coleoptile (shoot) growth of rice seeds exposed to three insecticides and two herbicides, commonly used in the agricultural production landscape. Although no germination effects of pesticide exposure were observed, significant growth effects were noted between pesticide treatments. Coleoptile growth was significantly (p ≤ 0.05) lowered in metolachlor/atrazine mixture, diazinon, and lambda-cyhalothrin exposures when compared with controls. Radicles of fipronil-exposed seeds were significantly larger (p ≤ 0.05) when compared with controls. This research contributes to the phytotoxicity assessment database, in addition to laying the foundation for the use of rice as a phytoremediation tool for agricultural pesticide runoff.


Asunto(s)
Germinación/efectos de los fármacos , Herbicidas/toxicidad , Insecticidas/toxicidad , Oryza/efectos de los fármacos , Contaminantes del Suelo/toxicidad , Acetamidas/toxicidad , Atrazina/toxicidad , Diazinón/toxicidad , Crecimiento y Desarrollo/efectos de los fármacos , Nitrilos/toxicidad , Oryza/crecimiento & desarrollo , Oryza/fisiología , Raíces de Plantas/efectos de los fármacos , Raíces de Plantas/crecimiento & desarrollo , Brotes de la Planta/efectos de los fármacos , Brotes de la Planta/crecimiento & desarrollo , Pirazoles/toxicidad , Piretrinas/toxicidad , Plantones/efectos de los fármacos , Plantones/crecimiento & desarrollo , Plantones/fisiología
9.
Arch Environ Contam Toxicol ; 57(2): 282-8, 2009 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-19458989

RESUMEN

Increased focus is being placed on the ability of native vegetation to mitigate potential harmful effects of agricultural runoff, especially pyrethroid insecticides. Replicate 379 L Rubbermaid tubs (1.25 m [l] x 0.6 m [w] x 0.8 m [h]) were planted with individual species of cutgrass (Leersia oryzoides), cattails (Typha latifolia), bur-reed (Sparganium americanum), and powdery alligator-flag (Thalia dealbata), all common wetland macrophytes found in the Mississippi Delta, USA, agricultural region. Permethrin-enriched water (target concentration, 5 microg L(-1)) was pumped in at a 4-h hydraulic retention time at one end of the tub and discharged at the far end. Water samples were collected from discharge at 1-h intervals for 12 h and analyzed for permethrin concentrations. Permethrin removal rates were compared for the four different plant treatments and nonvegetated sediment-water controls. Results indicated that no particular single plant species was more effective at removing permethrin in water relative to unplanted controls. Overall mass reductions (from inflow to outflow) for cis-permethrin ranged from 67% +/- 6% in T. latifolia to 71% +/- 2% in L. oryzoides. The trans-permethrin overall mass reductions ranged from 76% +/- 4% in S. americanum to 82% +/- 2% in the unplanted control. Sediment and plant samples collected at the study conclusion indicated that 77%-95% of measured permethrin mass was associated with sediment for mesocosms planted with L. oryzoides, T. latifolia, and T. dealbata. Conversely, mesocosms planted with S. americanum had 83% of measured mass associated with the plant material. Specific plant-pesticide retention studies can lead to improved planning for best management practices and remediation techniques such as constructed wetlands and vegetated agricultural drainage ditches.


Asunto(s)
Restauración y Remediación Ambiental , Insecticidas/metabolismo , Permetrina/metabolismo , Plantas/metabolismo , Insecticidas/análisis , Insecticidas/química , Cinética , Conformación Molecular , Permetrina/análisis , Permetrina/química , Residuos de Plaguicidas/análisis , Residuos de Plaguicidas/metabolismo , Suelo/análisis , Estereoisomerismo , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/metabolismo
10.
Sci Adv ; 5(1): eaau7126, 2019 01.
Artículo en Inglés | MEDLINE | ID: mdl-30662947

RESUMEN

During the European Middle Ages, the opening of long-distance Asian trade routes introduced exotic goods, including ultramarine, a brilliant blue pigment produced from lapis lazuli stone mined only in Afghanistan. Rare and as expensive as gold, this pigment transformed the European color palette, but little is known about its early trade or use. Here, we report the discovery of lapis lazuli pigment preserved in the dental calculus of a religious woman in Germany radiocarbon-dated to the 11th or early 12th century. The early use of this pigment by a religious woman challenges widespread assumptions about its limited availability in medieval Europe and the gendered production of illuminated texts.


Asunto(s)
Silicatos de Aluminio/historia , Cálculos Dentales/historia , Literatura Medieval/historia , Monjas/historia , Datación Radiométrica , Restos Mortales , Color , Femenino , Alemania , Historia Medieval , Humanos , Microscopía Electrónica de Rastreo , Persona de Mediana Edad , Pinturas , Espectrometría por Rayos X , Espectrometría Raman
11.
J Environ Qual ; 37(1): 107-13, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18178883

RESUMEN

Phosphorus (P) loading from nonpoint sources, such as agricultural landscapes, contributes to downstream aquatic ecosystem degradation. Specifically, within the Mississippi watershed, enriched runoff contributions have far-reaching consequences for coastal water eutrophication and Gulf of Mexico hypoxia. Through storm events, the P mitigation capacity of agricultural drainage ditches under no-till cotton was determined for natural and variable rainfall conditions in north Mississippi. Over 2 yr, two experimental ditches were sampled monthly for total inorganic P concentrations in baseflow and on an event-driven basis for stormflows. Phosphorus concentrations, Manning's equations with a range of roughness coefficients for changes in vegetative densities within the ditches, and discharge volumes from Natural Resources Conservation Service dimensionless hydrographs combined to determine ranges in maximum and outflow storm P loads from the farms. Baseflow regressions and percentage reductions with P concentrations illustrated that the ditches alternated between being a sink and source for dissolved inorganic P and particulate P concentrations throughout the year. Storm event loads resulted in 5.5% of the annual applied fertilizer to be transported into the drainage ditches. The ditches annually reduced 43.92 +/- 3.12% of the maximum inorganic effluent P load before receiving waters. Agricultural drainage ditches exhibited a fair potential for P mitigation and thus warrant future work on controlled drainage to improve mitigation capacity.


Asunto(s)
Agricultura/métodos , Fósforo/análisis , Contaminantes Químicos del Agua/análisis , Monitoreo del Ambiente , Mississippi , Lluvia , Movimientos del Agua , Contaminación del Agua/prevención & control
12.
Environ Pollut ; 146(1): 114-9, 2007 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16905226

RESUMEN

The beneficial uptake of nutrients by wetland plants is countered to some extent by nutrient release back into the aquatic environment due to vegetative die-back. This current study examined whether Leersia oryzoides, a common wetland plant, exhibits luxury uptake of nutrients from simulated farm runoff. The study also tested whether with subsequent decomposition, these nutrients are released back into the water column. When exposed to elevated (>2mg/L N and P) runoff, L. oryzoides assimilated significantly higher concentrations of nitrogen (p<0.001) and phosphorus (p<0.001) in above-ground biomass as compared to non-enriched treatments (<0.05 mg/L N and P). Subsequently, senescence of enriched above-ground biomass yielded significantly higher concentrations of phosphorus (2.19+/-0.84 mg P/L). Using L. oryzoides as our model, this study demonstrates nitrogen and phosphorus sequestration during the growing season and release of phosphorus in the winter.


Asunto(s)
Agricultura , Alimentos , Plantas/metabolismo , Estaciones del Año , Contaminantes Químicos del Agua/metabolismo , Contaminación del Agua , Adsorción , Biodegradación Ambiental , Biomasa , Sustancias Húmicas , Nitratos/metabolismo , Fósforo/metabolismo , Desarrollo de la Planta , Humedales
13.
J Environ Qual ; 36(6): 1646-52, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17940264

RESUMEN

The application of inorganic nitrogen fertilizers on agricultural landscapes has the potential to generate concerns of environmental degradation at fine to coarse scales across the catchment and landscape. Inorganic nitrogen species (NO3*, NO2*, and NH3) are typically associated with subsurface flow processes; however, surface runoff from rainfall events in no-till agriculture with inorganic surface fertilizers might contribute to downstream eutrophication. Inorganic nitrogen reduction capacity of agricultural drainage ditches under no-till cotton was determined under natural, variable rainfall conditions in northern Mississippi. Monthly grab baseflow samples and storm-generated flow samples were variably sampled temporally within two experimental farm ditches over 2 yr. Inorganic nitrogen concentrations, in conjunction with Manning's equation and Natural Resources Conservation Service dimensionless hydrographs, provided individual water volumes per storm event and thus maximum effluent and outflow nitrogen loads. Base and stormflow regression results indicate drainage ditches reducing NO3* and NH3 over the length of the ditch for growing and dormant seasons. Overall, maximum storm loads of dissolved inorganic nitrogen (DIN) from the farm over the 2-yr sampling period accounted for 2.2% of the initial fertilizer application, of which 1.1% left the ditch (0.84 kg ha(-1) yr(-1)) (a 57% ditch reduction of DIN load over 2 yr). Long-term sampling incorporating data on application and loss of fertilizers and farm management will provide critical information for farmers and scientists on the potential of economic gains and downstream ecosystem eutrophication, respectively.


Asunto(s)
Agricultura , Compuestos Inorgánicos/análisis , Nitrógeno/análisis , Ríos/química , Monitoreo del Ambiente , Mississippi , Lluvia , Factores de Tiempo
14.
Eur J Surg Oncol ; 32(1): 65-71, 2006 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16290055

RESUMEN

AIM: A survival benefit has been observed for colorectal cancer patients with peritoneal carcinomatosis treated by cytoreductive surgery with intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC). However, this treatment modality is associated with a considerable morbidity and mortality and in a significant number of patients survival is not improved. We studied whether poor survivors could be identified on preoperative computed tomography (CT), in order to avoid unnecessary surgery. PATIENTS AND METHODS: Films of abdominopelvic CT scans from 25 such patients treated by cytoreductive surgery and HIPEC were retrospectively analysed by two radiologists separately. A simplified peritoneal cancer index (SPCI) was used to determine the extent of peritoneal involvement. Correlation between the on preoperative CT based SPCI-scores as well as number of involved abdominopelvic areas (N) and survival was examined with the log-rank test. The relation between each affected region and survival was evaluated with Cox regression analysis. RESULTS: The preoperative SPCI- and N-scores of one of the radiologists had no statistically significant prognostic value, while for the second radiologist SPCI > or = 7 and N > or = 4 were associated with particularly poor outcome. Additionally, the presence of ileocaecal region involvement and, depending on the radiologist, the occurrence of tumour deposits in the left subdiaphragmatic area on CT appeared to be unfavourable prognostic signs. CONCLUSIONS: The prognostic value of preoperative conventional CT appeared to be radiologist dependent and may, therefore, be of limited value in selecting colorectal cancer patients with peritoneal carcinomatosis who will not benefit from extensive cytoreductive surgery followed by HIPEC.


Asunto(s)
Antineoplásicos/administración & dosificación , Carcinoma/diagnóstico por imagen , Neoplasias Colorrectales/diagnóstico por imagen , Hipertermia Inducida , Laparotomía , Selección de Paciente , Neoplasias Peritoneales/diagnóstico por imagen , Tomografía Computarizada por Rayos X , Antineoplásicos/uso terapéutico , Carcinoma/secundario , Carcinoma/terapia , Neoplasias Colorrectales/patología , Neoplasias Colorrectales/terapia , Estudios de Seguimiento , Humanos , Inyecciones Intraperitoneales , Neoplasias Peritoneales/secundario , Neoplasias Peritoneales/terapia , Cuidados Preoperatorios , Modelos de Riesgos Proporcionales , Estudios Retrospectivos , Resultado del Tratamiento
15.
Chemosphere ; 160: 149-54, 2016 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-27372264

RESUMEN

Within the agriculturally-intensive Mississippi River Basin of the United States, significant conservation efforts have focused on management practices that reduce nutrient runoff into receiving aquatic ecosystems. Only a small fraction of those efforts have focused on phytoremediation techniques. Each of six different aquatic macrophytes were planted, in monoculture, in three replicate mesocosms (1.2 m × 0.15 m × 0.65 m). Three additional unvegetated mesocosms served as controls for a total number of 21 mesocosms. Over two years, mesocosms were amended once each summer with sodium nitrate, ammonium sulfate, and potassium phosphate dibasic to represent nitrogen and phosphorus in agricultural runoff. System retention was calculated using a simple aqueous mass balance approach. Ammonium retention in both years differed greatly, as Panicum hemitomon and Echinodorus cordifolius retentions were significantly greater than controls in the first year, while only Myriophyllum aquaticum and Typha latifolia were significantly greater than controls in the second year. Greater soluble reactive phosphorus retention was observed in T. latifolia compared to controls in both years. Several other significant differences were observed in either the first or second year, but not both years. In the first year's exposure, P. hemitomon was significantly more efficient than the control, Saururus cernuus, and T. latifolia for overall percent nitrate decrease. Results of this novel study highlight inherent variability within and among species for nutrient specific uptake and the temporal variations of species for nutrient retention. By examining this natural variability, scientists may design phytoremediation systems with greater impact on improving agricultural runoff water quality.


Asunto(s)
Compuestos de Amonio/química , Nitratos/química , Fósforo/química , Plantas/metabolismo , Agricultura , Alismataceae/metabolismo , Biodegradación Ambiental , Ecosistema , Contaminantes Ambientales , Mississippi , Nitrógeno/química , Panicum/metabolismo , Ríos , Typhaceae/metabolismo , Microbiología del Agua , Calidad del Agua
16.
Eur J Cancer ; 27(5): 615-9, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1647185

RESUMEN

A quality control study was performed during the EORTC phase III study 08844: radiotherapy combined with low dose cisplatin (cDDP) in inoperable non-metastatic non-small cell lung cancer. Radiation alone (55 Gy, split course) was compared to radiotherapy with 30 mg/m2 cisplatin once a week and to radiotherapy with 6 mg/m2 cisplatin daily. The purpose of the control study was to check to which degree protocol guidelines were followed and to measure the extent of differences in assessment of tumour response, recurrence and toxicities between the individual institutes. A review team, consisting of a data manager, a diagnostic radiologist, a chest physician and two radiotherapists reviewed entry criteria, treatment data, tumour responses, recurrences and late toxicity of 177 patients (a total of 300 patients was required for the trial). Only departments which had entered more than 5% of this number of patients were visited. There was a 15% difference in T staging of the patients and a 17% discrepancy in N stage scoring between the review team and the local investigators. Radiotherapy field sizes were insufficient in 15% of the eligible patients during a period of the radiotherapy; in another 17% patients the tumour free margin was less than 1 cm. Radiation doses were incorrectly given to 7% of the patients. The given doses of cisplatin deviated in 10% of the patients treated with combined modalities. The interpretation of chest X-rays and computed tomography (CT) showed important differences in tumour response, tumour recurrence and late toxicity. From these data it is concluded that immediate checks can detect errors in treatments as planned at the local level and will make corrections possible at an early stage in multicentre studies. The quality of trial results will thus be improved. Uniform assessment of treatment outcome, tumour progression and forms of toxicity will lead to more sound trial conclusions.


Asunto(s)
Protocolos Clínicos/normas , Ensayos Clínicos como Asunto/normas , Variaciones Dependientes del Observador , Control de Calidad , Carcinoma Broncogénico/terapia , Carcinoma de Células Pequeñas/terapia , Cisplatino/administración & dosificación , Terapia Combinada/normas , Humanos , Neoplasias Pulmonares/terapia , Registros Médicos/normas , Traumatismos por Radiación , Radioterapia/normas , Dosificación Radioterapéutica/normas
17.
Eur J Cancer ; 39(8): 1068-73, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12736105

RESUMEN

Currently, breast cancer patients without clinically suspicious lymph nodes are candidates for sentinel lymph node procedures (SLNPs). The aims of this study were to investigate whether preoperative axillary ultrasonography and fine-needle aspiration cytology (FNA) can reduce the number of the more time-consuming SLNPs, and to identify a subset of quantitative nodal features to predict metastatic involvement. 268 axillae were ultrasonographically examined. FNA was performed on suspicious nodes (smallest diameter > or =5 mm or atypical cortex appearance). SLNP was omitted if a tumour-positive node was found on FNA. Length, width, maximum cortex thickness and appearance of cortex and hilus were ultrasonographically established. In 93 axillae (35%), at least one node was detected with ultrasound. FNA was performed once per axilla on 66 nodes; 37 (56%) contained tumour cells. 31% of all tumour-positive axillae (macro-+micrometastases) was found by ultrasound and FNA (37/121). 41% of all axillae containing macrometastases was found by ultrasound and FNA (36/87). SLNPs were reduced by 14% (37/268). Maximum cortex thickness is the main feature to predict metastatic involvement (area under Receiver Operating Characteristic (ROC) curve (A(Z))=0.87).


Asunto(s)
Neoplasias de la Mama/diagnóstico por imagen , Biopsia del Ganglio Linfático Centinela/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Axila , Biopsia con Aguja/métodos , Biopsia con Aguja/estadística & datos numéricos , Neoplasias de la Mama/patología , Neoplasias de la Mama/cirugía , Femenino , Humanos , Escisión del Ganglio Linfático/métodos , Metástasis Linfática/diagnóstico por imagen , Persona de Mediana Edad , Cuidados Preoperatorios/métodos , Curva ROC , Ultrasonografía
18.
J Neurosci Methods ; 84(1-2): 87-92, 1998 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-9821638

RESUMEN

We present a fast and simple method for a general, fluorescent double stain that differentially labels various cellular components and visualizes all cells in confocal laser scanning microscopy. The technique is useful for two- and three-dimensional visualization of neural tissue and facilitates quantification of a variety of neuroanatomical parameters. Examples from cerebellum and retina are shown to demonstrate the broad applicability.


Asunto(s)
Cerebelo/citología , Neuronas/citología , Retina/citología , Animales , Carbocianinas , Nucléolo Celular/ultraestructura , Citosol/ultraestructura , Colorantes Fluorescentes , Isoquinolinas , Microscopía Confocal/métodos , Percas , Ratas
19.
Urology ; 43(5): 702-7, 1994 May.
Artículo en Inglés | MEDLINE | ID: mdl-8165771

RESUMEN

OBJECTIVE: As part of the staging procedure in squamous cell carcinoma of the penis, we assessed the role of ultrasound examination, in particular its role in assessing the extent and the invasion into the corpora. METHODS: From 1988 until 1992, all patients referred for primary treatment underwent ultrasound assessment with a 7.5 MHz linear array small parts transducer as part of the clinical workup. All ultrasound images were reviewed by one radiologist, without knowledge of the clinical outcome and were compared with the results obtained at histopathologic examination. RESULTS: In 16 patients the primary tumor and in 1 patient a recurrent cancer after primary therapy were examined. All tumors were identified as hypoechoic lesions. Ultrasound examination in the region of the glans was not able to differentiate between invasion of the subepithelial tissue and invasion into the corpus spongiosum, but absence or presence of invasion into the tunica albuginea of the corpus cavernosum was clearly demonstrated. Accurate measurement by ultrasound of maximum tumor thickness was seen in seven of sixteen examinations. CONCLUSIONS: While ultrasound examination is inexpensive and easily done, it is not accurate enough for staging small penile cancers located at the glans penis. However, for larger tumors ultrasound can be a useful addition to physical examination by delineating reliably the anatomic relations of the tumor to structures such as the tunica albuginea, corpus cavernosum, and urethra.


Asunto(s)
Carcinoma de Células Escamosas/diagnóstico por imagen , Neoplasias del Pene/diagnóstico por imagen , Pene/patología , Carcinoma de Células Escamosas/patología , Humanos , Masculino , Persona de Mediana Edad , Invasividad Neoplásica , Estadificación de Neoplasias , Neoplasias del Pene/patología , Ultrasonografía
20.
Neurosci Lett ; 235(3): 145-8, 1997 Oct 17.
Artículo en Inglés | MEDLINE | ID: mdl-9406890

RESUMEN

Two types of cone horizontal cells were identified morphologically in the retina of a trichromatic fish by fluorescent labelling with Lucifer Yellow and confocal laser scanning microscopy. H1 cells are located adjacent to the outer plexiform layer, have large somata, small dendritic fields, and contact all cone types. H2 cells are positioned vitread to the H1 cells, have small somata, and large dendritic fields. Their dendrites invaginate the synaptic pedicles of short wavelength sensitive single cones and show a significant preference for one of the spectrally different members of the double cones, presumably the middle wavelength sensitive member. We tested the impacts of different visual environments on the development of these connectivity patterns and found minor changes induced by rearing in white light of different intensities or monochromatic blue light.


Asunto(s)
Adaptación Fisiológica/efectos de la radiación , Luz , Percas/anatomía & histología , Células Fotorreceptoras Retinianas Conos/efectos de la radiación , Animales , Comunicación Celular/efectos de la radiación , Microscopía Confocal , Vías Nerviosas/efectos de la radiación , Probabilidad , Células Fotorreceptoras Retinianas Conos/citología
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