Análise da expressão dos receptores HER-2 e sua correlação clínica em pacientes com neoplasia gástrica do setor de Oncologia do Hospital de Clínicas da Universidade Federal de Uberlândia-UFU

Introduction: Gastric cancer is currently the fourth higher cancer mortality rate among men in the world and the fifth among women, despite the progressive advances in oncology. The identification of tumor receptors and the development of target-drugs to block them has contributed to increased survival and quality of life of patients, but it becomes important to know the tumor profile of the population being treated, avoiding burdening treatment with examinations and treatments that are not cost-effective. Objective: To evaluate the profile of the population with gastric cancer treated in five years at the Clinical Hospital of the Federal University of Uberlândia and verify the correlation between overexpression of HER-2 receptor with an unfavorable prognosis. Methods: 203 records with gastric cancer were selected through the system database, attending a five-year period, of which 117 paraffin blocks were available for immunohistochemical assessment of HER2 receptor. Results: 2.6% of tumors showed overexpression of HER2, considering for this study two crosses as positive. There was no statistically significant difference in correlation between expression of the HER2 receptor with age, gender, tumor grade, local involvement, Lauren classification, Borrmann classification or staging. Conclusion: For this studied population, we can conclude that there is no need to employ HER2 blockers with high cost as a target-therapy in patients with gastric cancer, since no clinical benefit probably will be obtained due to a low percentage of these patients that demonstrated superexpression of this receptor or even there is no patients with gastric cancer with superexpression of HER2 with more than three crosses of positivity in immunochemistry

Glycated hemoglobin, body weight and blood pressure in type 2 diabetes patients initiating dapagliflozin treatment in primary care:a retrospective study

Introduction - The present study aimed to describe characteristics of patients with type 2 diabetes (T2D) in UK primary care initiated on dapagliflozin, post-dapagliflozin changes in glycated hemoglobin (HbA1c), body weight and blood pressure, and reasons for adding dapagliflozin to insulin. Methods - Retrospective study of patients with T2D in the Clinical Practice Research Datalink with first prescription for dapagliflozin. Patients were included in the study if they: (1) had a first prescription for dapagliflozin between November 2012 and September 2014; (2) had a Read code for T2D; (3) were registered with a practice for at least 6 months before starting dapagliflozin; and (4) remained registered for at least 3 months after initiation. A questionnaire ascertained reason(s) for adding dapagliflozin to insulin. Results - Dapagliflozin was most often used as triple therapy (27.7%), dual therapy with metformin (25.1%) or added to insulin (19.2%). Median therapy duration was 329 days [95% confidence interval (CI) 302–361]. Poor glycemic control was the reason for dapagliflozin initiation for 93.1% of insulin-treated patients. Avoiding increases in weight/body mass index and insulin resistance were the commonest reasons for selecting dapagliflozin versus intensifying insulin. HbA1c declined by mean of 9.7 mmol/mol (95% CI 8.5–10.9) (0.89%) 14–90 days after starting dapagliflozin, 10.2 mmol/mol (95% CI 8.9–11.5) (0.93%) after 91–180 days and 12.6 mmol/mol (95% CI 11.0–14.3) (1.16%) beyond 180 days. Weight declined by mean of 2.6 kg (95% CI 2.3–2.9) after 14–90 days, 4.3 kg (95% CI 3.8–4.7) after 91–180 days and 4.6 kg (95% CI 4.0–5.2) beyond 180 days. In patients with measurements between 14 and 90 days after starting dapagliflozin, systolic and diastolic blood pressure decreased by means of 4.5 (95% CI −5.8 to −3.2) and 2.0 (95% CI −2.9 to −1.2) mmHg, respectively from baseline. Similar reductions in systolic and diastolic blood pressure were observed after 91–180 days and when follow-up extended beyond 180 days. Results were consistent across subgroups. Conclusion - HbA1c, body weight and blood pressure were reduced after initiation of dapagliflozin in patients with T2D in UK primary care and the changes were consistent with randomized clinical trials.

Sedimentology on core MSM05/05_723-2

Two high-resolution sediment cores from eastern Fram Strait have been investigated for sea subsurface and surface temperature variability during the Holocene (the past ca 12,000 years). The transfer function developed by Husum and Hald (2012) has been applied to sediment cores in order to reconstruct fluctuations of sea subsurface temperatures throughout the period. Additional biomarker and foraminiferal proxy data are used to elucidate variability between surface and subsurface water mass conditions, and to conclude on the Holocene climate and oceanographic variability on the West Spitsbergen continental margin. Results consistently reveal warm sea surface to subsurface temperatures of up to 6 °C until ca 5 cal ka BP, with maximum seawater temperatures around 10 cal ka BP, likely related to maximum July insolation occurring at that time. Maximum Atlantic Water (AW) advection occurred at surface and subsurface between 10.6 and 8.5 cal ka BP based on both foraminiferal and dinocyst temperature reconstructions. Probably, a less-stratified, ice-free, nutrient-rich surface ocean with strong AW advection prevailed in the eastern Fram Strait between 10 and 9 cal ka BP. Weakened AW contribution is found after ca 5 cal ka BP when subsurface temperatures strongly decrease with minimum values between ca 4 and 3 cal ka BP. Cold late Holocene conditions are furthermore supported by high planktic foraminifer shell fragmentation and high d18O values of the subpolar planktic foraminifer species Turborotalita quinqueloba. While IP25-associated indices as well as dinocyst data suggest a sustained cooling due to a decrease in early summer insolation and consequently sea-ice increase since about 7 cal ka BP in surface waters, planktic foraminiferal data including stable isotopes indicate a slight return of stronger subsurface AW influx since ca 3 cal ka BP. The observed decoupling of surface and subsurface waters during the later Holocene is most likely attributed to a strong pycnocline layer separating cold sea-ice fed surface waters from enhanced subsurface AW advection. This may be related to changes in North Atlantic subpolar versus subtropical gyre activity.

(Table 2) U-channel paleomagnetic record of ODP Site 178-1098

Thick Holocene sedimentary sections (>45 m) cored in the Palmer Deep by the United States Antarctic Program (USAP) and during Ocean Drilling Program (ODP) Leg 178 provide the first opportunity to examine past geomagnetic field behavior at high southern latitudes. After removal of a low-coercivity drilling overprint the sediments display a stable, single-component remanent magnetization. Two short cores that recovered the uppermost 2.6 m of sediment have inclinations that fluctuate about the present day inclination (-57°) measured at Faraday Station, and several features with wavelengths of 10 to 20 cm appear to be correlative. However, shipboard measurements of inclination fluctuations on split-core samples from three holes drilled at ODP Site 1098 do not correlate well with each other, even though the intensity and susceptibility data correlate very well and the overall mean inclination for cores from each hole is consistent with the expected geocentric axial dipole (GAD) inclination. The correlation is improved dramatically by using inclinations measured on u-channels taken from the pristine center of a split core. Consequently, the anomalous directions and the resulting poor between-hole correlation of inclinations obtained from shipboard data can be attributed to coring-induced deformation, which is common on the outer edge of ODP piston cores, and/or measurement artifacts in the split-core data. Our preferred inclination record is thus derived from u-channel results. The upper ~25 m represents continuous sedimentation over the past 9000 yr, with an average sedimentation rate exceeding 250 cm/kyr (0.25 cm/yr). Given that remanence measurements on u-channels average over an interval <7 cm long, we obtained independent measurements of the paleo-geomagnetic field that average over only ~30 yr. This high-resolution record is characterized by an inclination that fluctuates within +/-15° of the current GAD inclination.

A randomised controlled trial comparing the effect of adjuvant intrathecal 2 mg midazolam to 20 micrograms fentanyl on postoperative pain for patients undergoing lower limb orthopaedic surgery under spinal anaesthesia.

Background: Intrathecal adjuvants are added to local anaesthetics to improve the quality of neuraxial blockade and prolong the duration of analgesia during spinal anaesthesia. Used intrathecally, fentanyl improves the quality of spinal blockade as compared to plain bupivacaine and confers a short duration of post-operative analgesia. Intrathecal midazolam as an adjuvant has been used and shown to improve the quality of spinal anaesthesia and prolong the duration of post-operative analgesia. No studies have been done comparing intrathecal fentanyl with bupivacaine and intrathecal 2 mg midazolam with bupivacaine. Objective: To compare the effect of intrathecal 2 mg midazolam to intrathecal 20 micrograms fentanyl when added to 2.6 ml of 0.5% hyperbaric bupivacaine, on post-operative pain, in patients undergoing lower limb orthopaedic surgery under spinal anaesthesia. Methods: A total of 40 patients undergoing lower limb orthopaedic surgery under spinal anaesthesia were randomized to two groups. Group 1: 2.6mls 0.5% hyperbaric bupivacaine with 0.4mls (20micrograms) fentanyl Group 2: 2.6mls of 0.5% hyperbaric bupivacaine with 0.4mls (2mg) midazolam Results: The duration of effective analgesia was longer in the midazolam group (384.05 minutes) as compared to the fentanyl group (342.6 minutes). There was no significant difference (P 0.4047). The time to onset was significantly longer in midazolam group 17.1 minutes as compared to the fentanyl group 13.2 minutes (P 0.023). The visual analogue score at rescue was significantly lower in the midazolam group (5.55) as compared to the fentanyl group 6.35 (P - 0.043). Conclusion: On the basis of the results of this study, there was no significant difference in the duration of effective analgesia between adjuvant intrathecal 2 mg midazolam as compared to intrathecal 20 micrograms fentanyl for patients undergoing lower limb orthopaedic surgery.

Photochromism of the complex between 40-(2-hydroxyethoxy)-7-hydroxyflavylium and b-cyclodextrin, studied by 1H NMR, UVeVis, continuous irradiation and circular dichroism

1st International Caparica Conference on Chromogenic and Emissive Materials

Characterisation of indoor air organic pollutants in Brisbane

The occurrence and levels of airborne polycyclic aromatic hydrocarbons and volatile organic compounds in selected non-industrial environments in Brisbane have been investigated as part of an integrated indoor air quality assessment program. The most abundant and most frequently encountered compounds include, nonanal, decanal, texanol, phenol, 2-ethyl-1-hexanol, ethanal, naphthalene, 2,6-tert-butyl-4-methyl-phenol (BHT), salicylaldehyde, toluene, hexanal, benzaldehyde, styrene, ethyl benzene, o-, m- and pxylenes, benzene, n-butanol, 1,2-propandiol, and n-butylacetate. Many of the 64 compounds usually included in the European Collaborative Action method of TVOC analysis were below detection limits in the samples analysed. In order to extract maximum amount of information from the data collected, multivariate data projection methods have been employed. The implications of the information extracted on source identification and exposure control are discussed.