Response to Chemotherapy in Overweight/Obese Patients With Low-Risk Gestational Trophoblastic Neoplasia

Objective Despite rising global obesity rates, the impact of obesity on gestational trophoblastic neoplasia (GTN) remains uninvestigated. This study aimed at investigating whether overweight/obesity relates to response to chemotherapy in low-risk GTN patients.Methods This nonconcurrent cohort study included 300 patients with International Federation of Gynecology and Obstetrics-defined postmolar low-risk GTN treated with a single-agent chemotherapymethotrexate or actinomycin-D (actD)between 1973 and 2012 at the New England Trophoblastic Disease Center. Chemotherapy dosing was based on actual body weight regardless of obesity status, except for 5-day courses or pulse regimens of actD. Patients were classified as overweight/obese (body mass index [BMI] 25 kg/m(2)) or non-overweight/obese (BMI <25 kg/m(2)). Information on patient characteristics and response to chemotherapy (need for second-line chemotherapy, reason for changing to an alternative chemotherapy, number of cycles, need for combination chemotherapy, and time to human chorionic gonadotropin remission) was obtained.Results Of 300 low-risk GTN patients, 81 (27%) were overweight/obese. Overweight/obese patients were older than the non-overweight/obese patients (median age: 30 vs 28 years, P = 0.004). First-line therapy using actD was more frequent in overweight/obese patients (6.2% vs 1.4%, P = 0.036). Resistance and toxicity were similar between groups. No significant difference in the number of chemotherapy cycles needed for remission or time required to achieve remission was found between groups.Conclusions No association between overweight/obesity and low-risk GTN outcomes was found. Current chemotherapy dosing using BMI seems to be appropriate for overweight/obese patients with low-risk GTN.

Changing presentation of complete hydatidiform mole at the New England Trophoblastic Disease Center over the past three decades: does early diagnosis alter risk for gestational trophoblastic neoplasia?

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Relationship between race and clinical characteristics, extent of disease, and response to chemotherapy in patients with low-risk gestational trophoblastic neoplasia

Objective. To evaluate the potential effects of race on clinical characteristics, extent of disease, and response to chemotherapy in women with postmolar low-risk gestational trophoblastic neoplasia (GTN).Methods. This non-concurrent cohort study was undertaken including patients with FIGO-defined postmolar low-risk GTN treated with comparable doses and schedules of chemotherapy at the New England Trophoblastic Disease Center (NETDC) between 1973 and 2012. Racial groups investigated included whites, African American and Asians. Information on patient characteristics and response to chemotherapy (need for second line chemotherapy, reason for changing to an alternative chemotherapy, number of cycles/regimens, need for combination chemotherapy, and time to hCG remission) was obtained.Results. Of 316 women, 274 (86.7%) were white, 19 (6%) African American, and 23 (7.3%) Asian. African Americans were significantly younger than white and Asian women (p = 0.008). Disease presentation, and extent of disease, including antecedent molar histology, median time to persistence, median hCG level at persistence, rate of D&C at persistence, presence of metastatic disease, and FIGO stage and risk score were similar among races. Need for second line chemotherapy (p = 0.023), and median number of regimens (p = 0.035) were greater in Asian women than in other races.Conclusions. Low-risk GTN was more aggressive in Asian women, who were significantly more likely to need second line chemotherapy and a higher number of chemotherapy regimens to achieve complete remission than women of African American and Asian descent. Further studies involving racial differences related to clinical, biological and environmental characteristics are needed. (C) 2015 Published by Elsevier Inc.

Short-term CO2-C emissions from soil prior to sugarcane (Saccharum spp.) replanting in southern Brazil

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Real-time characterization of the uterine blood flow in mares before and after artificial insemination

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Porphyromonas gingivalis stimulates bone resorption by enhancing RANKL (Receptor Activator of NF-κB Ligand) through activation of toll-like receptor 2 in osteoblasts

Periodontitis has been associated with rheumatoid arthritis. In experimental arthritis, concomitant periodontitis caused by oral infection with Porphyromonas gingivalis enhances articular bone loss. The aim of this study was to investigate how lipopolysaccharide (LPS) from P. gingivalis stimulates bone resorption. The effects by LPS P. gingivalis and four other TLR2 ligands on bone resorption, osteoclast formation, and gene expression in wild type and Tlr2-deficient mice were assessed in ex vivo cultures of mouse parietal bones and in an in vivo model in which TLR2 agonists were injected subcutaneously over the skull bones. LPS P. gingivalis stimulated mineral release and matrix degradation in the parietal bone organ cultures by increasing differentiation and formation of mature osteoclasts, a response dependent on increased RANKL (receptor activator of NF-κB ligand). LPS P. gingivalis stimulated RANKL in parietal osteoblasts dependent on the presence of TLR2 and through a MyD88 and NF-κB-mediated mechanism. Similarly, the TLR2 agonists HKLM, FSL1, Pam2, and Pam3 stimulated RANKL in osteoblasts and parietal bone resorption. LPS P. gingivalis and Pam2 robustly enhanced osteoclast formation in periosteal/endosteal cell cultures by increasing RANKL. LPS P. gingivalis and Pam2 also up-regulated RANKL and osteoclastic genes in vivo, resulting in an increased number of periosteal osteoclasts and immense bone loss in wild type mice but not in Tlr2-deficient mice. These data demonstrate that LPS P. gingivalis stimulates periosteal osteoclast formation and bone resorption by stimulating RANKL in osteoblasts via TLR2. This effect might be important for periodontal bone loss and for the enhanced bone loss seen in rheumatoid arthritis patients with concomitant periodontal disease.

A contratransferência e a importância das capacidades do analista na prática psicanalítica contemporânea

Although the use of countertransference is a controversial topic and the debate on the participation of the analyst’s mind may go back to the old conception of aptness for the analytical task based on personality or psychological makeup, the fact is that the psychoanalyst’s education involves the elaboration of his unconscious conflicts, turning conscious the pathways of his desire and his symptoms through a process of personal analysis and a long theoretical and technical training in the field of psychoanalysis. This study is a literature review based on studies about the maternal function, which aims at showing the path of recovery of countertransference in psychoanalytic theory and technique and the implication of the analyst’s abilities in the analytical process. This development is tributary of the appreciation of maternal function as a model for interpersonal and therapeutic relationship in Psychoanalysis, due to the paradigm of object relations in the British psychoanalytic tradition, being Donald W. Winnicott and Wilfred R. Bion two of its main authors.

A cidade e o sanduíche: análise da capa do primeiro exemplar da revista Traço (1987)

This paper conducts an analysis of the cover of the first issue of Trace magazine, conceived and edited by a group of graphic artists from Bauru (SP) published in November 1987 from the study proposed by Donald Norman (2008) especially through the visceral, behavioral and reflective approaches. This is a critical exercise, based on the study, of the use and application of the theory of Norman, which focuses on the development and focusing the scope of graphic design.

Dança para criança: uma proposta para o ensino de dança voltada para a educação infantil

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Psicologia social e etnografia: histórico e possibilidades de contato

A etnografia pode ser definida como um método de pesquisa qualitativa que visa a descrição e o entendimento integrativo de fenômenos socioculturais presentes em grupos ou comunidades particulares de acordo com os próprios termos e atitudes daqueles que os vivenciam cotidianamente. Ao se voltar especificamente para esta dimensão ao mesmo tempo metodológica e ética da etnografia, o presente artigo adota como objetivo principal a realização de uma reconstituição histórica direcionada à reapropriação desta modalidade de estudos de campo por parte da Psicologia Social norte-americana e brasileira. Para tanto, focaliza um momento e uma instituição específicos: a primeira metade do século XX e a Escola Sociológica de Chicago, a qual aparece pensada aqui a partir de aspectos da vida e da obra de três dos seus principais representantes: Robert Park, George Mead e Donald Pierson. De maneira conclusiva, o artigo debate algumas das especificidades da prática etnográfica e, unindo passado e presente, defende a pertinência da sua utilização na contemporaneidade da pesquisa psicossociológica.

Thomas Smithwick Gettys Papers - Accession 54

Thomas Smithwick Gettys (1912-2003) was a lawyer and U.S. Representative for the Fifth Congressional District of South Carolina. The Thomas Smithwick Gettys Papers consist of reports, resolutions, correspondence, news releases, government publications, and newspaper clippings, relating to Getty’s efforts to enlarge and develop the Cowpens Battlefield Site of Cherokee County, South Carolina. Correspondents include Ernest Hollings, Donald Russell, John P. Saylor, W.S. Stuckey, Jr., Roy A. Taylor, Mark W. Clark, Wayne Aspinall, and Stewart Udall.

Block & Bridle Annual 1956-1957

Charles Adams (Faculty Advisor), Delbert Kuhlman, John Klingenberg, Ardyce Haring, Harvey Jorgensen, Roy Volzke, Billie Reed, Paul Yeutter Prof. Loeffel, Carolyn Hall, Byron Kort, Larry Paul, Elwin Mosier, Charles Corkle, Kay Robohm, Daniel Stilwell Duane Stokebrand, Gary Briggs, Walt Patterson, Wendell Mousel, Keith Smith, Darrel Zessin, Richard Bonne, Donald Kasbohm, Bruce Skinner Bob Discoe, Doyle Hulme, Jim Smith, Carl Lorenzen, Jay Cook, Gary Berke, Bob Volk, Roger Hild Donald Kuhl, Russell Person, Ray Cada, Ray DeBower, Bob Dannert, Phil Starck, Kay Knudsen, Jerry Brownfield, Allan McClure, Wally Bierman Morris Ochsner, Warren Mitchell, Ed McReynolds, Gerald Dart, Arza Snyder, Mervy Schliefert, Arley Waldo, Tom Hoffman, John Wink, Virgil Gellermann, Duane Neuman

Block & Bridle Annual 1959-1960

President Roger Wehrbein Vice President Ted Klug Secretary George B. O'Neal Treasurer Ralph Hazen Marshal Bud Reece Historian Tom Kraeger Co-Historian John Zauha Ag. Executive Representative Larry Williams Faculty Advisor Dr. E. B. Peo, Jr. George Ahlschwede Richard Hahn Henry Beel Ralph Hazen Gary Briggs Gary Heineman Leslie Cook Max Hauser Richard Eberspacher Buce Jameson Russ Edeal Leon Janovy William Ehresman Alan Jorgensen Rolland Eubanks John Joyner Mickey Evertson Marshall Jurgens Jesse Felker Ron Kahle Mylon Filkins Donald Kavan Richard Frahm Max Keasling Roger French Ronald Kennedy Angus Garey Ted Klug Ed Gates Herb Kraeger Gerald Gogan Tom Kraeger Gerald Goold Fernando Lagos Jay Graf Gerald Lamberson Lloyd Langemeier Ralph Langemeier Gerald Loseke Donald Meiergerd Lowell Minert John Oeltjen George B. O'Neal Don Ormesher Larry Ott Bud Reece Ron Sabatka Keith Smith Ronald Smith Donn Simonson Daryl Starr Galen Stevens Eugene Turdy Ernest Thayer Charles Thompson Jerry Thompson Eli Thomssen William Watkins Allen Trumble Robert Weber Lawrence Turner Dan Wehrbein Reginald Turner Roger Wehrbein Vance Uden Dick White Max Waldo Billy Williams Blair Williams Larry Williams D. Patrick Wright John Zauha

History and fate of a small isolated population of Weddell seals at White Island, Antarctica

Weddell seals (Leptonychotes weddellii Lesson) at White Island, Antarctica form a small, completely enclosed, natural population hypothesized to be of recent origin, likely founded by individuals from nearby Erebus Bay. This population constitutes an ideal model to document a founder event and ensuing genetic drift, with implications for conservation. Here we combined historical accounts, census and tagging data since the late 1960s, and genetic data (41 microsatellite loci and mitochondrial DNA sequences) from 84 individuals representing nearly all individuals present between 1990 and 2000 to investigate the history of the founding of the White Island population, document its population dynamics and evaluate possible future threats. We fully resolved parental relationships over three overlapping generations. Cytonuclear disequilibrium among the first generation suggested that it comprised the direct descendants of a founding group. We estimated that the White Island population was founded by a small group of individuals that accessed the island during a brief break in the surrounding sea ice in the mid-1950s, consistent with historical accounts. Direct and indirect methods of calculating effective population size were highly congruent and suggested a minimum founding group consisting of three females and two males. The White Island population showed altered reproductive dynamics compared to Erebus Bay, including highly skewed sex ratio, documented inbred mating events, and the oldest known reproducing Weddell seals. A comparison with the putative source population showed that the White Island population has an effective inbreeding coefficient (Fe) of 0.29. Based on a pedigree analysis including the hypothesized founding group, 86% of the individuals for whom parents were known had inbreeding coefficients ranging 0.09–0.31. This high level of inbreeding was correlated with reduced pup survival. Seals at White Island therefore face the combined effects of low genetic variability, lack of immigration, and inbreeding depression. Ultimately, this study provides evidence of the effects of natural isolation on a large, long-lived vertebrate and can provide clues to the potential effects of anthropogenic- caused isolation of similar taxa.

Diatoms and Tonsteins as Paleoenvironrnental and Paleodepositional Indicators in a Miocene Coal Bed, Costa Rica

Fresh-water diatoms are present in coal, and tonsteins (altered volcanic ash) are interbedded with the coal, in the Miocene Venado Formation on the southwest margin of the Limon Basin, in Provincia Alajuela, northern Costa Rica. The Venado Formation is composed of more than 300 m of mudstone, siltstone, sandstone, limestone, volcaniclastics, and coal beds. The coal beds are of unknown lateral extent and mainly occur in the middle part of the formation. The Pataste coal bed occurs near the middle of the formation and is divided into three parts by two tonstein layers. The abundance of biogenic opaline material (diatoms) in the coal is believed to be a direct response to an influx of silica from volcanic tuffs that Later altered to the tonsteins. Diatoms are a useful microscopic tool for identifying the depositional environments of the Pataste coal deposit. The diatoms identified include Aulacosira ambigua, Pinnularia sp., Eunotia spp., and Achnanthes exigua, among others. The abundance of Aulacosira arnbigua suggests that an open-water lacustrine environment was present locally. Achnanthes exigua and the remaining diatom species are benthic forms that lived in shallow fresh-water to slightly acidic swamp environments. The different types of diatoms found in the coal indicate that swamp environments were intermixed with lacustrine environments during the formation of the peat deposit or that the coal records environmental changes through time.