Membranas de biocelulose como substrato para o crescimento de nanofios de ZnO: síntese e aplicação

Pós-graduação em Química - IQ

Membranas de biocelulose como substrato para o crescimento de nanofios de ZnO: síntese e aplicação

Pós-graduação em Química - IQ

Transcranial DC Stimulation Coupled With TENS for the Treatment of Chronic Pain A Preliminary Study

Objective: Based on evidence showing that electrical stimulation of the nervous system is an effective method to decrease chronic neurogenic pain, we aimed to investigate whether the combination of 2 methods of electrical stimulation-a method of peripheral stimulation [transcutaneous electrical nerve stimulation (TENS)] and a method of noninvasive brain stimulation (transcranial direct current stimulation (tDCS)]-induces greater pain reduction as compared with tDCS alone and sham stimulation. Methods: We performed a preliminary, randomized, sham-controlled, crossover, clinical study in which 8 patients were randomized to receive active tDCS/active TENS (""tDCS/TENS"" group), active tDCS/sham TENS (""tDCS"" group), and sham tDCS/sham TENS (""sham"" group) stimulation. Assessments were performed immediately before and after each condition by a blinded rater. Results: The results showed that there was a significant difference in pain reduction across the conditions Of stimulation (P = 0.006). Post hoc tests showed significant pain reduction as compared with baseline after the tDCS/TENS condition [reduction by 36.5% (+/- 10.7), P = 0.004] and the tDCS condition [reduction by 15.5% (+/- 4.9), P = 0.014], but not after sham stimulation (P = 0.35). In addition, tDCS/TENS induced greater pain reduction than tDCS (P = 0.02). Conclusions: The results of this pilot study suggest that the combination of TENS with tDCS has a superior effect compared with tDCS alone.

Le capacità relazionali negli infermieri: un'indagine esplorativa negli spedali civili di Brescia

Nelle attuali organizzazioni sanitarie non è raro trovare operatori sanitari i quali ritengono che la relazione con il paziente consista nell'avere adeguate competenze tecniche inerenti la professione e nell'applicarle con attenzione e diligenza. Peraltro si tende ad invocare il “fattore umano”, ma si lamenta poi che l’operatore si rapporti col paziente in modo asettico e spersonalizzato. Da un punto di vista scientifico il termine “relazione” in psicologia si riferisce essenzialmente ai significati impliciti e quasi sempre non consapevoli veicolati da qualunque relazione: dipende pertanto dalla struttura psichica dei due interlocutori investendo in particolare la sfera dell’affettività e procede per processi comunicativi che travalicano il linguaggio verbale e con esso le intenzioni razionali e coscienti. La relazione interpersonale quindi rientra nel più ampio quadro dei processi di comunicazione: sono questi o meglio i relativi veicoli comunicazionali, che ci dicono della qualità delle relazioni e non viceversa e cioè che i processi comunicazionali vengano regolati in funzione della relazione che si vuole avere (Imbasciati, Margiotta, 2005). Molti studi in materia hanno dimostrato come, oltre alle competenze tecnicamente caratterizzanti la figura dell’infermiere, altre competenze, di natura squisitamente relazionale, giochino un ruolo fondamentale nel processo di ospedalizzazione e nella massimizzazione dell’aderenza al trattamento da parte del paziente, la cui non osservanza è spesso causa di fallimenti terapeutici e origine di aumentati costi sanitari e sociali. Questo aspetto è però spesso messo in discussione a favore di un maggiore accento sugli aspetti tecnico professionali. Da un “modello delle competenze” inteso tecnicisticamente prende origine infatti un protocollo di assistenza infermieristica basato sull’applicazione sistematica del problem solving method: un protocollo preciso (diagnosi e pianificazione) guida l’interazione professionale fra infermiere e la persona assistita. A lato di questa procedura il processo di assistenza infermieristica riconosce però anche un versante relazionale, spesso a torto detto umanistico riferendosi alla soggettività dei protagonisti interagenti: il professionista e il beneficiario dell’assistenza intesi nella loro globalità bio-fisiologica, psicologica e socio culturale. Nel pensiero infermieristico il significato della parola relazione viene però in genere tradotto come corrispondenza continua infermiere-paziente, basata sulle dimensioni personali del bisogno di assistenza infermieristica e caratterizzata da un modo di procedere dialogico e personalizzato centrato però sugli aspetti assistenziali, in cui dall’incontro degli interlocutori si determinerebbe la natura delle cure da fornire ed i mezzi con cui metterle in opera (Colliere, 1992; Motta, 2000). Nell’orientamento infermieristico viene affermata dunque la presenza di una relazione. Ma di che relazione si tratta? Quali sono le capacità necessarie per avere una buona relazione? E cosa si intende per “bisogni personali”? Innanzitutto occorre stabilire cosa sia la buona relazione. La buona o cattiva relazione è il prodotto della modalità con cui l’operatore entra comunque in interazione con il proprio paziente ed è modulata essenzialmente dalle capacità che la sua struttura, consapevole o no, mette in campo. DISEGNO DELLA LA RICERCA – 1° STUDIO Obiettivo del primo studio della presente ricerca, è un’osservazione delle capacità relazionali rilevabili nel rapporto infermiere/paziente, rapporto che si presume essere un caring. Si è voluto fissare l’attenzione principalmente su quelle dimensioni che possono costituire le capacità relazionali dell’infermiere. Questo basandoci anche su un confronto con le aspettative di relazione del paziente e cercando di esplorare quali collegamenti vi siano tra le une e le altre. La relazione e soprattutto la buona relazione non la si può stabilire con la buona volontà, né con la cosiddetta sensibilità umana, ma necessita di capacità che non tutti hanno e che per essere acquisite necessitano di un tipo di formazione che incida sulle strutture profonde della personalità. E’ possibile ipotizzare che la personalità e le sue dimensioni siano il contenitore e gli elementi di base sui quali fare crescere e sviluppare capacità relazionali mature. Le dimensioni di personalità risultano quindi lo snodo principale da cui la ricerca può produrre i suoi risultati e da cui si è orientata per individuare gli strumenti di misura. La motivazione della nostra scelta dello strumento è da ricercare quindi nel tentativo di esplorare l’incidenza delle dimensioni e sottodimensioni di personalità. Tra queste si è ritenuto importante il costrutto dell’Alessitimia, caratteristico nel possesso e quindi nell’utilizzo, più o meno adeguato, di capacità relazionali nel processo di caring,

Photofixierung von Lipidmembranen aus Glykolipopolymeren auf Goldoberflächen

Ziel war Herstellung und Charakterisierung festkörperunterstützter Membransysteme aus Glykolipopolymeren auf Goldoberflächen, mit elektrischen Eigenschaften, die denen der Schwarzfilmmembranen entsprechen. Um diese Eigenschaften mit impedanzspektroskopischen Techniken messen zu können, ist die Präparation der Membranen auf Goldfilmen notwendig. Eine direkte Verankerung der Glykolipopolymermoleküle (GLP) auf der Goldoberfläche ist nicht möglich, daher werden die untersuchten GLP mit Hilfe von photoreaktiven Molekülen kovalent auf der Goldoberfläche immobilisiert. Untersuchten Abstandhalter waren Thio-Polyethylenglykol und eine Mischung zweier Alkanthiole, bestehend aus 1-Thiohexanol und Bis-(Aminododecyl)-disulfid. Thio-PEG-Monoschichten zeigten sehr unterschiedliche Schichtdicken, weil die Moleküle auf der Oberfläche sehr unterschiedliche Konformationen annehmen können, die eine regelmässige Anordnung erschweren. Langmuir-Blodgett Übertrag sowie die durchgeführte photochemische Fixierung der GLP-Moleküle auf Thio-PEG Schichten führte zu Eigenschaften, die auf den Aufbau einer Lipidmonolage hinweisen. Diese stellte jedoch im Bereich der Lipidmoleküle keine geschlossene Schicht dar. Es kommen als Abstandhaltermoleküle für die Photofunktionalisierung nur Moleküle in Frage, die aufgrund ihrer Eigenschaften eine regelmässige Anordnung auf der Goldoberfläche anstreben. Diese Voraussetzung erfüllt am besten die Gruppe der Alkanthiole. Terminal funktionalisierte Alkanthiole müssen jedoch mit nicht oder anderweitig funktionalisierten Alkanthiolen verdünnt assembliert werden, um weitergehende Funktionalisierungen einzugehen. Die untersuchten GLP lassen sich aufgrund ihrer amphiphilen Struktur an der Wasser-Luft Grenzfläche vororientieren. In allen Fällen gelingt auch der Langmuir-Blodgett Übertrag der komprimierten Schicht, sowie, nach der für die Anbindung notwendigen Trocknung, die photochemisch kovalente Fixierung der Monoschicht durch Bestrahlung mit UV-Licht. Damit konnte erstmals die photochemisch kovalente Fixierung von GLPs auf der Goldoberfläche gezeigt werden. Untersuchungen erfolgten an einem Copolymer sowie zwei unterschiedlichen Homopolymermolekülen. Der unterschiedliche molekulare Aufbau der GLP spiegelt sich in ihrem Verhalten an der Wasser-Luft Grenzfläche sowie in den Eigenschaften der gebildeten Monoschichten wieder. Die Copolymer-Schichten zeigten sehr unterschiedliche Schichtdicken. Auch die EIS-Daten sind schlecht reproduzierbar. Dies ist auf die molekulare Struktur des Copolymers zurückzuführen. Gänzlich unterschiedlich verhalten sich die Homopolymere. Aufgrund ihrer Struktur lassen sie sich zu dichten Schichten komprimieren. Messungen der Fluoreszenzerholung nach Photobleichung (FRAP) zeigen homogene aber nicht fluide Schichten. Die photochemisch kovalente Fixierung des Moleküls auf der Goldoberfläche konnte durch SPR- sowie EIS-Messungen nachgewiesen werden. Die EIS-Messungen zeigen Werte, die sich in Bereichen der idealen Modellmembran bewegen. Der erfolgreiche Einbau von Valinomycin konnte bestätigt werden. FRAP Untersuchungen zeigten die Bildung homogener Schichten. Diese sind jedoch im Bereich der proximalen Lipidschicht nicht fluide. Um die Fluidität in Anlehnung an die Eigenschaften der natürlichen Membranen zu erhöhen, wurden die photochemisch kovalent fixierten Anker-Glykolipopolymer-Moleküle durch Mischung mit freien Lipiden lateral verdünnt. Auch die kovalente Fixierung der GLP-Bausteine innerhalb gemischten Schichten konnte erfolgreich demonstriert werden. Die Schichten zeigten sich jedoch, mit Ausnahme der Schichten aus 50mol% Homopolymer und 50mol% Lipid, inhomogen. Nach Photobleichung durch den Laserblitz kam es nur bei den 50mol%:50mol% -Schichten (Ho: Lipid) zur Erholung der Fluoreszenz, was auf das Vorliegen von beweglichen Lipidmolekülen innerhalb der Membran schliessen lässt. Der Versuch der Inkorporation von Valinomycin gelang ebenfalls. Alle genannten Ergebnisse deuten darauf hin, dass die molekulare Architektur der hergestellten Schichten durch die unterschiedlichen Längendimensionen des Homopolymer-Moleküls einerseits, sowie des Lipids andererseits nicht für alle Mischungsverhältnisse ausreichend stabil ist. Die für die kovalente Fixierung erforderliche Trocknung der Schicht führt zu einer deutlichen Verminderung des Wassergehaltes des Systems und einer daraus resultierenden starken Destabilisierung der aufgebauten Schichten. Insgesamt gesehen stellt somit die photochemische Fixierung der glykosidischen Homopolymer-Membranen ein vielversprechendes Modellsystem dar.

Sampling methods for low-frequency electromagnetic imaging

For the detection of hidden objects by low-frequency electromagnetic imaging the Linear Sampling Method works remarkably well despite the fact that the rigorous mathematical justification is still incomplete. In this work, we give an explanation for this good performance by showing that in the low-frequency limit the measurement operator fulfills the assumptions for the fully justified variant of the Linear Sampling Method, the so-called Factorization Method. We also show how the method has to be modified in the physically relevant case of electromagnetic imaging with divergence-free currents. We present numerical results to illustrate our findings, and to show that similar performance can be expected for the case of conducting objects and layered backgrounds.

Fluorescence close to dielectric interfaces

The aim of the work was to study the correlation between the orientation and excited-state lifetimes of organic dyes close to dielectric interfaces. For this purpose, an experimental setup was designed and built, guiding the light through a prism in total internal reflection geometry. Fluorescence intensities and lifetimes for an ensemble of dye molecules were analyzed as a function of the excitation and detection polarizations. Working close to the total internal reflection angle, the differences between polarization combinations were enhanced. A classical electromagnetic model that assumes a chromophore as a couple of point-like electrical dipoles was developed. A numerical method to calculate the excitation and emission of dye molecules embedded in a multilayer system was implemented, by which full simulation of the time resolved fluorescence experiments was achieved. Free organic dyes and organic dyes covalently bound to polyelectrolyte chains were used. The polymer functionalization process avoided aggregation and provided control over the dyes position, within a few nanometers to the interface. Moreover, by varying the pH, the polymer chains could be deposited on different substrates with different conformations and the resulting fluorescence characteristics analyzed. Initially the fluorescence of organic dyes embedded in a polymer matrix was studied as a function of the distance between the fluorophores and the polymer-air interface. The non-radiative decay rate, vacuum decay rate and the relative angle between the excitation and emission dipoles of the chromophores could be determined. Different free organic dyes were deposited onto different dielectric spacers, as close as possible to the air-dielectric interface. Surprisingly, the fluorescence characteristics of dyes deposited onto polyelectrolyte layer were in good agreement with theoretical predictions of dyes in a polymer matrix, even when the layer was only 2 nm thick. When functionalized chains were deposited at low pH, on top of a polyelectrolyte spacer, the fluorescence had the characteristics of emitters embedded in a polymer matrix as well. Surface deposition at high pH showed an intermediate behaviour between emitters embedded in polymer and on top of the surface, in air. In general, for low pH values, the chains are deposited on a substrate in a train-like conformation. For high pH values, the chains are deposited in a loop-like conformation. As a consequence at low pH the functionalized polymer strongly interdigitates with the polyelectrolyte chains of the spacer, bringing most of the dyes inside the polymer. Thus, the fluorophores may experience the polymer as surrounding environment. On the other hand, for high pH values the dye-loaded chains adsorbed have a conformational arrangement of dense loops that extend away from the surface. Therefore many fluorophores experience the air as surrounding environment. Changing the spacer from polyelectrolyte to negatively charged silane produced contradictory results for lifetimes and intensities. The fluorescence intensities indicated the behaviour of emitters embedded in a polymer matrix, regardless of the pH value. On the other hand, for low pH values, the excited-state lifetimes showed that the emitters behaved as in air. For higher pH values, an intermediate behaviour between fluorophores located within and above of a dielectric film was observed. The poor agreement between theoretical and experimental data may be due to the simplified model utilized, by which the dipoles are assumed either in one side or in the other with respect to a geometrical air-dielectric interface. In the case when the dielectric film is constituted by the functionalized polymer chains themselves, reality is more complex and a different model may apply. Nevertheless, possible applications of the technique arise from a qualitative analysis.

Indagini di tomografia geoelettrica sulle dune costiere della Provincia di Ravenna

Questa tesi Magistrale è frutto di un'attività di ricerca, che consiste nella realizzazione di un'indagine geofisica di tipo geoelettrico (ERT Electrical Resistivity Tomography). Lo scopo è quello di caratterizzare l'idrogeologia di una porzione limitata dell'acquifero freatico costiero ravennate, situato nella Pineta Ramazzotti di Lido di Dante, cercando di apportare nuove conoscenze sulle dinamiche che favoriscono l'ingressione marina (problema di forte attualità)che potrebbero contribuire a migliorare la gestione e la tutela delle risorse idriche. In questo contesto la tesi si pone come obiettivo quello di valutare l'applicabilità del metodo geoelettrico verificando se questo è in grado d'individuare efficacemente l'interfaccia acqua dolce-salata e le strutture presenti nel sottosuolo, in due tipologie di ambiente, con e senza un sistema di dune. I risultati dimostrano che dal punto di vista scientifico, il metodo geoelettrico ha verificato il principio di Ghyben-Herzberg, il quale suppone che vi sia una relazione inversa tra quota topografica e limite superiore della zona satura con acqua salata, inoltre si è riscontrata una certa stagionalità tra i profili acquisiti in momenti diversi (influenzati dalla piovosità). Mentre dal punto di vista tecnologico, il metodo, è di difficile utilizzo negli ambienti di transizione tanto ché chi si occupa professionalmente di questi rilievi preferisce non eseguirli. Questo è dovuto alla mancanza di un protocollo per le operazioni di acquisizione e a causa dell'elevato rumore di fondo che si riscontra nelle misurazioni. Con questo studio è stato possibile calibrare e sviluppare un protocollo, utilizzabile con diverse spaziature tra gli elettrodi, che è valido per l'area di studio indagata. Si è riscontrato anche che l'utilizzo congiunto delle informazioni delle prospezioni e quelle dei rilievi classici (monitoraggio della superficie freatica, parametri chimico-fisici delle acque sotterranee, rilievo topografico e sondaggi geognostici), generino un prodotto finale di semplice interpretazione e di facile comprensione per le dinamiche in atto.

Ottimizzazione e validazione di un protocollo di acquisizione dati per un sistema di impedenziometria

Il seguente progetto di tesi si basa sull’ottimizzazione del protocollo impiegato da un impedenziometro per l’analisi spettrale della pelle, con l’obiettivo di individuare la presenza di un tumore. Il lavoro è poi proseguito con la validazione dello strumento per mezzo di un lavoro di misura su resistenze semplici e impedenze complesse.

Metodi di valutazione diretta ed indiretta della conducibilità idraulica verticale dei terreni sciolti Esempi applicativi nella Alta e Bassa Pianura Friulana

Nel corso del tempo, nell’ambito dell’idrogeologia sono state sviluppate diverse tecniche per la determinazione conducibilità idraulica (K). Negli ultimi decenni sempre maggiori sforzi sono stati compiuti per integrare le tecniche geofisiche a questo specifico settore di ricerca; in particolare le metodologie geoelettriche sono state fonte di molteplici studi per la determinazione indiretta di K. Su questa idea è stato impostato il lavoro presentato in questo elaborato di tesi. Ciò che questo propone è infatti l’esecuzione di test in campo che prevedono il monitoraggio time lapse con tecnologia ERT (Electrical Resistivity Tomography) di un tracciante salino iniettato nel terreno. Il fine ultimo è quello di poter sviluppare una tecnica indiretta per la stima della conducibilità idraulica verticale dei terreni sciolti. Le immagini tomografiche, realizzate in sequenza nel tempo, premettono la visualizzazione l’avanzamento del plume basso resistivo in movimento nel terreno (causato dalla salamoia iniettata). Un successivo confronto grafico fra queste permette di quantificare lo spostamento nel tempo, in modo da calcolare in seguito la velocità di infiltrazione del tracciante, e in ultimo stimare la K del terreno in analisi. I risultati ottenuti con tale metodologia sperimentale, opportunamente elaborati tramite specifici software, sono stati confrontati, dove possibile, con i valori forniti dall’impiego di altre tecniche più tradizionali, in modo da poter valutare la bontà del dato ottenuto. Le aree studio individuate per condurre tali sperimentazioni ricadono all’interno del territorio regionale del Friuli Venezia Giulia, in particolare nell’area di Alta e Bassa pianura friulana. La strumentazione (resistivimetro multicanale VHR X612-EM della MAE-Molisana Apparecchiature Elettroniche) e il software (Res2dinv) per la raccolta e l’elaborazione delle immagini tomografiche sono stati gentilmente messi a disposizione dalla società Geomok s.r.l. del Dott. Geol. Mocchiutti (Udine) con la cui collaborazione è stato realizzato questo elaborato di tesi.

Coronary optical frequency domain imaging (OFDI) for in vivo evaluation of stent healing: comparison with light and electron microscopy

Coronary late stent thrombosis, a rare but devastating complication, remains an important concern in particular with the increasing use of drug-eluting stents. Notably, pathological studies have indicated that the proportion of uncovered coronary stent struts represents the best morphometric predictor of late stent thrombosis. Intracoronary optical frequency domain imaging (OFDI), a novel second-generation optical coherence tomography (OCT)-derived imaging method, may allow rapid imaging for the detection of coronary stent strut coverage with a markedly higher precision when compared with intravascular ultrasound, due to a microscopic resolution (axial approximately 10-20 microm), and at a substantially increased speed of image acquisition when compared with first-generation time-domain OCT. However, a histological validation of coronary OFDI for the evaluation of stent strut coverage in vivo is urgently needed. Hence, the present study was designed to evaluate the capacity of coronary OFDI by electron (SEM) and light microscopy (LM) analysis to detect and evaluate stent strut coverage in a porcine model.

Preemptive analgesia by lornoxicam--an NSAID--significantly inhibits perioperative platelet aggregation

BACKGROUND AND OBJECTIVE: To investigate whether preemptive administered lornoxicam changes perioperative platelet function during thoracic surgery. METHODS: A total of 20 patients scheduled for elective thoracic surgery were randomly assigned to receive either lornoxicam (16 mg, i.v.; n = 10) or placebo (n = 10) preoperatively. All patients underwent treatment of solitary lung metastasis and denied any antiplatelet medication within the past 2 weeks. Blood samples were drawn via an arterial catheter directly into silicone-coated Vacutainer tubes containing 0.5 mL of 0.129 M buffered sodium citrate 3.8% before, 15 min, 4 h and 8 h after the study medication was administered. Platelet aggregation curves were obtained by whole blood electrical impedance aggregometry (Chrono Log). RESULTS: Platelet aggregation was significantly reduced 15 min, 4 h and 8 h after lornoxicam administration compared to placebo (P < 0.05) for collagen, adenosine diphosphate and arachidonic acid as trigger substances. Adenosine diphosphate-induced platelet aggregation decreased by 85% 15 min after lornoxicam administration, and remained impaired for 8 h. CONCLUSION: Platelet aggregation assays are impaired for at least 8 h after lornoxicam application. Therefore perioperative analgesia by use of lornoxicam should be carefully administered under consideration of subsequent platelet dysfunction.

Fabrication methods for creating flexible polymer substrate sensor tags

The authors describe the design, fabrication, and testing of a passive wireless sensor platform utilizing low-cost commercial surface acoustic wave filters and sensors. Polyimide and polyethylene terephthalate sheets are used as substrates to create a flexible sensor tag that can be applied to curved surfaces. A microfabricated antenna is integrated on the substrate in order to create a compact form factor. The sensor tags are fabricated using 315 MHz surface acoustic wave filters and photodiodes and tested with the aid of a fiber-coupled tungsten lamp. Microwave energy transmitted from a network analyzer is used to interrogate the sensor tag. Due to an electrical impedance mismatch at the SAW filter and sensor, energy is reflected at the sensor load and reradiated from the integrated antenna. By selecting sensors that change electrical impedance based on environmental conditions, the sensor state can be inferred through measurement of the reflected energy profile. Testing has shown that a calibrated system utilizing this type of sensor tag can detect distinct light levels wireless and passively. The authors also demonstrate simultaneous operation of two tags with different center passbands that detects light. Ranging tests show that the sensor tags can operate at a distance of at least 3.6 m.

The Role of Acidic Fibroblast Growth Factor and Fibroblast Growth Factor Receptor 4 in High Grade Serous Carcinoma

Background: High grade serous carcinoma whether ovarian, tubal or primary peritoneal, continues to be the most lethal gynecologic malignancy in the USA. Although combination chemotherapy and aggressive surgical resection has improved survival in the past decade the majority of patients still succumb to chemo-resistant disease recurrence. It has recently been reported that amplification of 5q31-5q35.3 is associated with poor prognosis in patients with high grade serous ovarian carcinoma. Although the amplicon contains over 50 genes, it is notable for the presence of several members of the fibroblast growth factor signaling axis. In particular acidic fibroblast growth factor (FGF1) has been demonstrated to be one of the driving genes in mediating the observed prognostic effect of the amplicon in ovarian cancer patients. This study seeks to further validate the prognostic value of fibroblast growth receptor 4 (FGFR4), another candidate gene of the FGF/FGFR axis located in the same amplicon. The emphasis will be delineating the role the FGF1/FGFR4 signaling axis plays in high grade serous ovarian carcinoma; and test the feasibility of targeting the FGF1/FGFR4 axis therapeutically. Materials and Methods: Spearman and Pearson correlation studies on data generated from array CGH and transcriptome profiling analyses on 51 microdissected tumor samples were used to identify genes located on chromosome 5q31-35.3 that showed significant correlation between DNA and mRNA copy numbers. Significant correlation between FGF1 and FGFR4 DNA copy numbers was further validated by qPCR analysis on DNA isolated from 51 microdissected tumor samples. Immunolocalization and quantification of FGFR4 expression were performed on paraffin embedded tissue samples from 183 cases of high-grade serous ovarian carcinoma. The expression was then correlated with clinical data to assess impact on survival. The expression of FGF1 and FGFR4 in vitro was quantified by real-time PCR and western blotting in six high-grade serous ovarian carcinoma cell lines and compared to those in human ovarian surface epithelial cells to identify overexpression. The effect of FGF1 on these cell lines after serum starvation was quantified for in vitro cellular proliferation, migration/invasion, chemoresistance and survival utilizing a combination of commercially available colorimetric, fluorometric and electrical impedance assays. FGFR4 expression was then transiently silenced via siRNA transfection and the effects on response to FGF1, cellular proliferation, and migration were quantified. To identify relevant cellular pathways involved, responsive cell lines were transduced with different transcription response elements using the Cignal-Lenti reporter system and treated with FGF1 with and without transient FGFR4 knock down. This was followed by western blot confirmation for the relevant phosphoproteins. Anti-FGF1 antibodies and FGFR trap proteins were used to attempt inhibition of FGF mediated phenotypic changes and relevant signaling in vitro. Orthotopic intraperitoneal tumors were established in nude mice using serous cell lines that have been previously transfected with luciferase expressing constructs. The mice were then treated with FGFR trap protein. Tumor progression was then followed via bioluminescent imaging. The FGFR4 gene from 52 clinical samples was sequenced to screen for mutations. Results: FGFR4 DNA and mRNA copy numbers were significantly correlated and FGFR4 DNA copy number was significantly correlated with that of FGF1. Survival of patients with high FGFR4 expressing tumors was significantly shorter that those with low expression(median survival 28 vs 55 month p< 0.001) In a multivariate cox regression model FGFR expression significantly increased risk of death (HR 2.1, p<0.001). FGFR4 expression was significantly higher in all cell lines tested compared to HOSE, OVCA432 cell line in particular had very high expression suggesting amplification. FGF1 was also particularly overexpressed in OVCA432. FGF1 significantly increased cell survival after serum deprivation in all cell lines. Transient knock down of FGFR4 caused significant reduction in cell migration and proliferation in vitro and significantly decreased the proliferative effects of FGF1 in vitro. FGFR1, FGFR4 traps and anti-FGF1 antibodies did not show activity in vitro. OVCA432 transfected with the cignal lenti reporter system revealed significant activation of MAPK, NFkB and WNT pathways, western blotting confirmed the results. Reverse phase protein array (RPPA) analysis also showed activation of MAPK, AKT, WNT pathways and down regulation of E Cadherin. FGFR trap protein significantly reduced tumor growth in vivo in an orthotopic mouse model. Conclusions: Overexpression and amplification of several members of the FGF signaling axis present on the amplicon 5q31-35.3 is a negative prognostic indicator in high grade serous ovarian carcinoma and may drive poor survival associated with that amplicon. Activation of The FGF signaling pathway leads to downstream activation of MAPK, AKT, WNT and NFkB pathways leading to a more aggressive cancer phenotype with increased tumor growth, evasion of apoptosis and increased migration and invasion. Inhibition of FGF pathway in vivo via FGFR trap protein leads to significantly decreased tumor growth in an orthotopic mouse model.

THE RELATIONSHIP BETWEEN THE RHEOENCEPHALOGRAM AND CEREBRAL BLOOD FLOW

The rheoencephalogram (REG) is the change in the electrical impedance of the head that occurs with each heart beat. Without knowledge of the relationship between cerebral blood flow (Q) and the REG, the utility of the REG in the study of the cerebral vasculature is greatly limited. The hypothesis is that the relationship between the REG and Q when venous outflow is nonpulsatile is^ (DIAGRAM, TABLE OR GRAPHIC OMITTED...PLEASE SEE DAI)^ where K is a proportionality constant and Q is the mean Q.^ Pulsatile CBF was measured in the goat via a chronically implanted electromagnetic flowmeter. Electrodes were implanted in the ipsilateral cerebral hemisphere, and the REG was measured with a two electrode impedance plethysmograph. Measurements were made with the animal's head elevated so that venous flow pulsations were not transmitted from the heart to the cerebral veins. Measurements were made under conditions of varied cerebrovascular resistance induced by altering blood CO(,2) levels and under conditions of high and low cerebrospinal fluid pressures. There was a high correlation (r = .922-.983) between the REG calculated from the hypothesized relationship and the measured REG under all conditions.^ Other investigators have proposed that the REG results from linear changes in blood resistivity proportional to blood velocity. There was little to no correlation between the measured REG and the flow velocity ( r = .022-.306). A linear combination of the flow velocity and the hypothesized relationship between the REG and Q did not predict the measured REG significantly better than the hypothesized relationship alone in 37 out of 50 experiments.^ Jacquy proposed an index (F) of cerebral blood flow calculated from amplitudes and latencies of the REG. The F index was highly correlated (r = .929) with measured cerebral blood flow under control and hypercapnic conditions, but was not as highly correlated under conditions of hypocapnia (r = .723) and arterial hypotension (r = .681).^ The results demonstrate that the REG is not determined by mean cerebral blood flow, but by the pulsatile flow only. Thus, the utility of the REG in the determination of mean cerebral blood flow is limited. ^