Clinical assessment of fluorescence cytoscopy during transurethral bladder resection in superficial bladder cancer.

The prognosis of superficial bladder cancer in terms of recurrence and disease progression is related to bladder tumor multiplicity and the presence of concomitant "plane" tumors such as high-grade dysplasia and carcinoma in situ. This study in 33 patients aimed to demonstrate the role of fluorescence cystoscopy in transurethral resection of superficial bladder cancer. The method is based on the detection of protoporphyrin-IX-induced fluorescence in urothelial cancer cells by topical administration of 5-aminolevulinic acid. The sensitivity and the specificity of this procedure on apparently normal mucosa in superficial bladder cancer are estimated to be 82.9% and 81.3%, respectively. Thus, fluorescence cytoscopy is a simple and reliable method for mapping the bladder mucosa, especially in the case of multifocal bladder disease, and it facilitates the screening of occult dysplasia.

APLICAÇÃO SUPERFICIAL DE CALCÁRIO COM DIFERENTES TEORES DE MAGNÉSIO E GRANULOMETRIAS EM SISTEMA PLANTIO DIRETO

RESUMO A correção da acidez do solo no sistema plantio direto (SPD) é feita por meio da aplicação de calcário na superfície sem incorporação. Com a hipótese de que a fonte e granulometria dos corretivos interferem na velocidade de reação no solo em curto prazo e na resposta das culturas à calagem na superfície em SPD, foram realizados dois experimentos, sendo um em Latossolo Vermelho Distrófico textura muito argilosa e outro em Neossolo Litólico Húmico textura franco-arenosa, no período de 2010 a 2012. O delineamento empregado, em cada experimento, foi em blocos completos ao acaso, no esquema fatorial 2 × 2 × 4, com três repetições. Os tratamentos foram constituídos de duas fontes de calcário, calcítico (25-50 g kg-1 MgO) e dolomítico (160-180 g kg-1 MgO), duas faixas de poder relativo de neutralização total (PRNT), faixa B (PRNT de 60 a 75 %) e faixa D (PRNT>90 %), e quatro doses de calcário na superfície, sendo um tratamento-controle sem calagem e três doses estimadas para elevar a saturação por bases do solo (0,00-0,20 m), a 50, 70 e 90 %. Nos dois experimentos, o calcário foi aplicado a lanço sobre a superfície do solo, em agosto de 2010. Realizaram-se dois cultivos em 2010/11 e 2011/12, com milho e soja, no Latossolo Vermelho Distrófico, e soja e milho, no Neossolo Litólico Húmico, respectivamente. A aplicação superficial de calcário nos dois solos, após 12 meses, proporcionou redução da acidez na camada de 0,00-0,05 m e, em menor grau, na de 0,05-0,10 m. A amenização da acidez nas camadas da superfície foi mais acentuada com o emprego de doses mais elevadas de calcário calcítico e de corretivo com granulometria mais fina. A calagem superficial aumentou as concentrações de Ca-foliar com a utilização de calcário calcítico e de Mg-foliar com o uso de calcário dolomítico, e reduziu os teores foliares de Mn e Zn, independentemente da fonte de calcário, nas culturas de milho e soja. As produtividades de grãos de milho e soja no Latossolo Vermelho Distrófico e Neossolo Litólico Húmico aumentaram com as doses de calcário, mas não foram influenciadas pelas fontes e faixas de PRNT dos corretivos. A calagem superficial é uma prática efetiva e importante para maximizar a produtividade de grãos das culturas em SPD, independentemente do teor de Mg e da granulometria dos corretivos.

Prevalence of Neural Tube Defects (NTD) in Younger Mothers in Europe 2000-2008: Analysis of the EUROCAT Database - Report to Bayer Schiering Pharma

M.C. Addor is included in the Eurocat Working Group

Formation and distribution of point defects on a disclination line near a free nematic interface

Point defects of opposite signs can alternately nucleate on the -1/2 disclination line that forms near the free surface of a confined nematic liquid crystal. We show the existence of metastable configurations consisting of periodic repetitions of such defects. These configurations are characterized by a minimal interdefect spacing that is seen to depend on sample thickness and on an applied electric field. The time evolution of the defect distribution suggests that the defects attract at small distances and repel at large distances.

The effect of lattice defects on Hele-Shaw flow over an etched lattice

We examine the patterns formed by injecting nitrogen gas into the center of a horizontal, radial Hele-Shaw cell filled with paraffin oil. We use smooth plates and etched plates with lattices having different amounts of defects (010 %). In all cases, a quantitative measure of the pattern ramification shows a regular trend with injection rate and cell gap, such that the dimensionless perimeter scales with the dimensionless time. By adding defects to the lattice, we observe increased branching in the pattern morphologies. However, even in this case, the scaling behavior persists. Only the prefactor of the scaling function shows a dependence on the defect density. For different lattice defect densities, we examine the nature of the different morphology phases.

BCOR analysis in patients with OFCD and Lenz microphthalmia syndromes, mental retardation with ocular anomalies, and cardiac laterality defects.

Oculofaciocardiodental (OFCD) and Lenz microphthalmia syndromes form part of a spectrum of X-linked microphthalmia disorders characterized by ocular, dental, cardiac and skeletal anomalies and mental retardation. The two syndromes are allelic, caused by mutations in the BCL-6 corepressor gene (BCOR). To extend the series of phenotypes associated with pathogenic mutations in BCOR, we sequenced the BCOR gene in patients with (1) OFCD syndrome, (2) putative X-linked ('Lenz') microphthalmia syndrome, (3) isolated ocular defects and (4) laterality phenotypes. We present a new cohort of females with OFCD syndrome and null mutations in BCOR, supporting the hypothesis that BCOR is the sole molecular cause of this syndrome. We identify for the first time mosaic BCOR mutations in two females with OFCD syndrome and one apparently asymptomatic female. We present a female diagnosed with isolated ocular defects and identify minor features of OFCD syndrome, suggesting that OFCD syndrome may be mild and underdiagnosed. We have sequenced a cohort of males diagnosed with putative X-linked microphthalmia and found a mutation, p.P85L, in a single case, suggesting that BCOR mutations are not a major cause of X-linked microphthalmia in males. The absence of BCOR mutations in a panel of patients with non-specific laterality defects suggests that mutations in BCOR are not a major cause of isolated heart and laterality defects. Phenotypic analysis of OFCD and Lenz microphthalmia syndromes shows that in addition to the standard diagnostic criteria of congenital cataract, microphthalmia and radiculomegaly, patients should be examined for skeletal defects, particularly radioulnar synostosis, and cardiac/laterality defects.

A novel technique for the reconstruction of infected full-thickness chest wall defects.

BACKGROUND: Chest wall resection and reconstruction can be performed with minimal mortality and excellent functional and cosmetic results using synthetic meshes, methylmethacrylate, or other substitutes. However, these techniques are less easily applicable if chest wall resections have to be performed for infections. METHODS: We report a novel technique for this purpose using a modified latissimus dorsi flap harvested in continuity with the thoracolumbar fascia. The vascularized fascia was sutured into the chest wall defect, providing a stable base for the muscular component of the flap. Three patients requiring large full-thickness resections of the anterolateral chest wall for chronic infections were treated accordingly, two presenting with chronic radionecrosis and osteomyelitis and one with chest wall invasion by pulmonary aspergillosis. RESULTS: There were no intraoperative or postoperative complications and immediate extubation was possible in all 3 patients without the need for postoperative ventilation or tracheotomy. Healing of the infected chest wall was observed in all 3 patients. Postoperative cinemagnetic resonance imaging revealed concordant movements of the replaced segments without evidence of paradoxical motion during inspiration and expiration. CONCLUSIONS: This technique is easy and safe. It allows a stable and satisfactory reconstruction after large anterolateral full-thickness chest wall resections of infected, previously irradiated tissues, using only well-vascularized autologous tissue.

Etude de la variation interlaboratoire du test de dépistage prénatal des défauts de fermeture du tube neural [Interlaboratory variation in the prenatal screening test for neural tube closing defects].

Early detection of neural-tude defects is possible by determining Alpha-fetoprotein (AFP) in maternal serum. 16'685 pregnant women were observed. Three methods for the determination of the "normal" range are compared. The first one, already used in similar studies, makes use of a constant multiple of the median. The other two ones make use of robust estimates of location and scale. Their comparison shows the interest of the robust methods to reduce the interlaboratory variability.

Dicer1 depletion in male germ cells leads to infertility due to cumulative meiotic and spermiogenic defects.

Background: Spermatogenesis is a complex biological process that requires a highly specialized control of gene expression. In the past decade, small non-coding RNAs have emerged as critical regulators of gene expression both at the transcriptional and post-transcriptional level. DICER1, an RNAse III endonuclease, is essential for the biogenesis of several classes of small RNAs, including microRNAs (miRNAs) and endogenous small interfering RNAs (endo-siRNAs), but is also critical for the degradation of toxic transposable elements. In this study, we investigated to which extent DICER1 is required for germ cell development and the progress of spermatogenesis in mice.Principal Findings: We show that the selective ablation of Dicer1 at the early onset of male germ cell development leads to infertility, due to multiple cumulative defects at the meiotic and post-meiotic stages culminating with the absence of functional spermatozoa. Alterations were observed in the first spermatogenic wave and include delayed progression of spermatocytes to prophase I and increased apoptosis, resulting in a reduced number of round spermatids. The transition from round to mature spermatozoa was also severely affected, since the few spermatozoa formed in mutant animals were immobile and misshapen, exhibiting morphological defects of the head and flagellum. We also found evidence that the expression of transposable elements of the SINE family is up-regulated in Dicer1-depleted spermatocytes.Conclusions/Significance: Our findings indicate that DICER1 is dispensable for spermatogonial stem cell renewal and mitotic proliferation, but is required for germ cell differentiation through the meiotic and haploid phases of spermatogenesis.

Resposta espectral de solos em razão do ângulo de visada, da umidade e da rugosidade superficial

Este trabalho teve por objetivo avaliar as variações do fator de refletância bidirecional (FRB) de três séries de solo (McAllister, Stronghold e Epitaph) da microbacia experimental de Walnut Gulch (Arizona, EUA) em razão do ângulo de visada, da rugosidade superficial e do teor de umidade. Foram consideradas as faixas espectrais do visível e do infravermelho próximo e médio presentes no sensor TM, e os resultados foram expressos em termos de FRB em relação à resposta no Nadir (FRB relativo). O anisotropismo variou de solo para solo e foi maior nas menores faixas espectrais, nos ângulos de visada maiores localizados na direção do retroespalhamento, nos ângulos solar-zenitais maiores, e na condição de solo seco. No solo Epitaph (único solo submetido ao estudo de rugosidade) o anisotropismo foi também maior na superfície mais rugosa. Entretanto, uma melhor diferenciação entre as superfícies lisa e rugosa do solo Epitaph foi obtida na direção do espalhamento da energia refletida. Diferenças na escala e nos métodos de obtenção dos dados são apontadas como causas do realce do comportamento anisotrópico dos dados obtidos em condições de laboratório, em comparação com os dados de campo.

Treatment of extended skin defects with autologous composite cultured skin grafts in a patient with epidermolysis bullosa

Rationale: The purpose of this article is to demonstrate the use of homologous culture cells in treating an advanced coccon formation of the hand and three extended squamous cell carcinomas of the lower and upper limb in a patient with recessive dystrophic epidermolysis bullosa. The preparation and application of these cells in the operation room are being described. Methods: A number of surgical approaches have been described to correct these deformities in order to improve function.We propose a new therapeutic approach of treating loss of motion and independent digital function as well as coverage of large skin defects in a patient with recessive dystrophic epidermolysis bullosa by using autologous culture cells. Surgical treatment of these patients is really difficult because of the existing skin fragility. Furthermore, surgical wounds do not easily heal because of recurrent blisters and erosions as well as due to the patients' poor nutricial status. Results: We report our experience of mutiple extended cutaneous squamous cell carcinomas arising in our patient which were successfully managed using autologous composite cultured skin grafts. The cocoon hand deformity was also treated with the limb becoming functional. Conclusion: The use of autologous keratinocytes and fibroblasts in epidermolysis bullosa is hereby outlined for the fist time.

Alteração de parâmetros químicos do solo pela reaplicação superficial de calcário no sistema plantio direto

A aplicação superficial de calcário está se tornando uma prática comum de correção da acidez do solo no sistema plantio direto no Sul do Brasil. O objetivo desta pesquisa foi avaliar o efeito da reaplicação de calcário, com e sem incorporação ao solo no sistema plantio direto, sobre as características químicas das fases sólida e líquida ao longo do tempo e do perfil do solo. O experimento foi conduzido em solo Argissolo Vermelho distrófico típico, cultivado há oito anos no sistema plantio direto com reaplicação de calcário a cada quatro anos. Em outubro de 1996, foram aplicadas, em toda a área, 2,5 t ha¹ de calcário, o qual foi incorporado em metade da parcela. As análises de solo em camadas de 1 cm de espessura, em curtos espaços de tempo, permitiram verificar efeitos relativamente rápidos da reaplicação de calcário na superfície do solo em profundidade. O maior efeito da dissolução do calcário ocorreu aos 90 dias de sua reaplicação. Os efeitos em profundidade se manifestaram a partir dos 180 dias da reaplicação; atingiram, aos 360 dias, até 2 cm quanto aos teores de Ca e Mg na solução do solo, e até 4 cm quanto ao pH em CaCl2 e aos teores de Al, Ca e Mg trocáveis.

Superficial femoral vein as substitute for pulmonary artery reconstruction after resection for bronchovascular fistula

Post-lobectomy bronchovascular fistula (BVF) associated with massive hemoptysis is a rare but life-threatening complication. Surgical options include completion pneumonectomy or BVF resection with end-to-end anastomosis of the airways and reconstruction of the pulmonary artery (PA) by interposition of an appropriate substitute. We report PA resection and successful reconstruction by interposition of an autologous reversed superficial femoral vein (SFV) segment for this purpose.