Previous microvascular decompression decreases the chances of pain free in patients treated with Gamma Knife radiosurgery for TIC

Object: The authors sought to establish whether the safety-efficacy of Gamma Knife radiosurgery (GKRS) as a second treatment for intractable trigeminal neuralgia (ITN) are influenced by prior microvascular decompression (MVD) which remains, for some of the authors, the reference technique. Methods: Between July 1992 and November 2010, 737 patients have been operated with GKRS for ITN and prospectively evaluated in Timone University Hospital in Marseille, France. Among these, 54 patients had a previous MVD history. Radiosurgery using a Gamma Knife (model B or C or Perfexion) was performed relying on both MR and CT targeting. A single 4 mm isocenter was positioned in the cisternal portion of the trigeminal nerve at a median distance of 7.6 mm (range 3.9- 11.9) anteriorly to the emergence of the nerve (retrogasserian target). A median maximum dose of 85 Gy (range 70-90) was delivered. Are further analyzed only 45 patients with previous MVD and a follow-up longer than one year (the patients with megadolichobasilar artery compression and multiple sclerosis were excluded). Results: The median age in this series was 56.75 years (range 28.09-82.39). The median follow-up period was 39.48 months (range 14.10-144.65). All the patients had a past history of surgery, with at least one previous failed MVD, but also a radiofrequency lesion (RFL) in 16 (35.6%) patients, balloon microcompression in 7 (15.6%) patients and glycerol rhizotomy in 1 case (2.2%). Thirty-five patients (77.8%) were initially pain free in a median time of 14 days (range 0, 180). Patients from this group had less probability of being pain free compared to our global population of essential trigeminal neuralgia without previous MVD history (p=0.010, hazard ratio of 0.64). Their probability of remaining pain free at 3, 5, 7 and 10 years was 66.5%, 59.1%, 59.1% and 44.3%, respectively. Twelve patients (34.3%) initially pain free experienced a recurrence with a median delay of 31.21 months (range 3.40-89.93). The hypoesthesia actuarial rate at 1 year was 9.1% and remained stable till 12 years with a median delay of onset of 8 months (range 8-8). Conclusions: Retrogasserian GKRS proofed to be safe and effective on the long-term basis even after failed previous MVD. Even if the initial result of pain free was of only 77.8%, the toxicity was low with only 9.1% hypoesthesia. No patient reported a bothersome hypoesthesia. The probability of maintaining pain relief in long-term was of 44.3% at 10 years.

Developpement et application du moniteur de tabagisme passif MoNIC

A passive sampling device, called Monitor of NICotine (MoNIC), was constructed and evaluated by the laboratory of the Institute for Work and Health to determine nicotine in Environmental Tobacco Smoke (ETS). To support a large campaign on the subject of passive smoking, the CIPRET Valais gracefully distributed more than 1500 MoNIC badges to the Swiss population in order to measure ETS. Non-stimulated saliva was also collected to determine nicotine/cotinine levels of participating volunteers. The inhaled Cigarette Equivalents (CE) by non-smokers was calculated for non-smokers, based on a reference of 0.2 mg of nicotine per cigarette. Using the detected CE on the badge for non-smokers, and comparing it to the nicotine/cotinine levels in saliva, we could confirm the use of the CE concept for estimating exposure to ETS

Pankinjohtaja J.W. Rangell 2/3 1962

Kirje 2.3.1962

Carte générale des Îles Britanniques contenant l'Angleterre, l'Écosse et l'Irlande : indiquant les principales routes, les canaux de navigation, les chemins de fer exécutés et en cours d'exécution dans la Grande-Bretagne / par J. Andriveau ; le burin par Piat ; écrit par Arnoul

Échelle(s) : [ca 1:1 4640 000], échelle de 25 lieues communes de France [= 7,6 cm]

Göttingen 3/8 29

Kirje 3.8.1929

Monitoreo oceanográfico pesquero en áreas seleccionadas. MOPAS Paita 0009-10

Presenta los resultados del monitoreo oceanográfico pesquero realizado entre el 29 y 30 de setiembre y 01 de octubre del 2000, cubriendo el área desde Punta Aguja hasta Talara. Detalla que las condiciones oceanográficas han mostrado un retorno del evento frío moderado observado desde el otoño 1998, por aproximación de las ASS hacia la costa. Se presenta la totalidad de los parámetros estudiados: físicos, químicos, y biológicos con sus respectivas tablas y gráficos.

Monitoreo oceanográfico pesquero en áreas seleccionadas. MOPAS Paita 0008

Presenta los resultados del monitoreo oceanográfico pesquero realizado entre el 03 y 05 de agosto del 2000, cubriendo el área desde Punta Aguja hasta Talara. Detalla que las condiciones oceanográficas han mostrado un ambiente ligeramente cálido asociado a la incursión de las Aguas Suptropicales Superficiales (ASS) hacia la costa, replegando las Aguas Ecuatoriales Superficiales (AES) presentes en los meses anteriores. Se presenta la totalidad de los parámetros estudiados: físicos, quimicos, y biológicos con sus respectivas tablas y gráficos.

Sistemas de Tratamento e Disposição dos Resíduos Sólidos Compact Power & Aterro Sanitário

Na actual monografia intitulada “Sistemas de Tratamento e Disposição dos Resíduos Sólidos” adoptar-se-á as teorias clássicas de solos, para representar os resíduos sólidos urbanos. No que diz ao tratamento e disposição, diversos métodos e técnicas vão ser apresentados. Assim esta pesquisa tem como objectivo principal avaliar o Aterro Sanitário proposto para Santiago, 1999 e a tecnologia do Compact Power (pirólise/gasificação). Os dados dos resíduos sólidos ficaram restringidos aos resíduos urbanos, encontrando-se uma grande heterogeneidade e constantes questionamentos em diversas bibliografias. Analisa-se os elementos base para o dimensionamento do Aterro Sanitário abrangendo um estudo mais aprofundado sobre a estabilização dos taludes. Quanto ao Compact Power, far-se-á a apresentação da planta que incluiu duas linhas, uma para o resíduo misturado e o outro para resíduos separados, uma planta de compostagem e uma planta de conversão térmica avançada (empregando os processos de pirólises, gaseificação e oxidação a alta temperatura). Na compilação deste documento, encontra-se uma análise SWOT, com o intuito de melhor analisar as referidas tecnologias apresentadas.

Genome-wide association analysis of copy number variation in recurrent depressive disorder.

Large, rare copy number variants (CNVs) have been implicated in a variety of psychiatric disorders, but the role of CNVs in recurrent depression is unclear. We performed a genome-wide analysis of large, rare CNVs in 3106 cases of recurrent depression, 459 controls screened for lifetime-absence of psychiatric disorder and 5619 unscreened controls from phase 2 of the Wellcome Trust Case Control Consortium (WTCCC2). We compared the frequency of cases with CNVs against the frequency observed in each control group, analysing CNVs over the whole genome, genic, intergenic, intronic and exonic regions. We found that deletion CNVs were associated with recurrent depression, whereas duplications were not. The effect was significant when comparing cases with WTCCC2 controls (P=7.7 × 10(-6), odds ratio (OR) =1.25 (95% confidence interval (CI) 1.13-1.37)) and to screened controls (P=5.6 × 10(-4), OR=1.52 (95% CI 1.20-1.93). Further analysis showed that CNVs deleting protein coding regions were largely responsible for the association. Within an analysis of regions previously implicated in schizophrenia, we found an overall enrichment of CNVs in our cases when compared with screened controls (P=0.019). We observe an ordered increase of samples with deletion CNVs, with the lowest proportion seen in screened controls, the next highest in unscreened controls and the highest in cases. This may suggest that the absence of deletion CNVs, especially in genes, is associated with resilience to recurrent depression.

Fitness cost of resistance to Bacillus thuringiensis in velvetbean caterpillar Anticarsia gemmatalis Hübner (Lepidoptera, Noctuidae)

Selection pressure to obtain resistant genotypes can result in fitness cost. In this study, we report the effects of the selection pressure of a commercial formulation of Bacillus thuringiensis on biological aspects of a Dipel-resistant strain of velvetbean caterpillar, Anticarsia gemmatalis Hübner. Comparisons of Dipel-resistant and susceptible individuals revealed significant differences in pupal weight and larval development time. Both strains (Dipel-resistant and susceptible) were susceptible to Cry1Ac toxin expressed in foliar cotton tissues. Resistant and susceptible strains showed low survival rates of 22.5% and 51.2%, respectively, when fed with Greene diet containing Bt-cotton. Larvae bioassayed after three laboratory generations presented lower survival and less instar numbers than individuals maintained in the laboratory for more than 144 generations. Pupal weight was 9.4% lower and larval development time was 1.9 days longer in the resistant population than in the susceptible strain. Other parameters, such as duration of pupal stage, adult longevity, number of eggs per female, oviposition period, and egg fertility, remained unaffected.

Baseline data of a population-based cohort of patients with diabetes in Switzerland (CoDiab-VD)

QUESTIONS UNDER STUDY: To describe a population-based sample of patients with diabetes and the quality of their care in the canton of Vaud, Switzerland, as a baseline measure for the evaluation of the "Programme cantonal Diabète". METHODS: We conducted a self-administered paper-based questionnaire survey. Non-institutionalised adult (aged ≥18 years) patients with diabetes diagnosed for at least 1 year and residing in the canton of Vaud were recruited by community pharmacies. Women with gestational diabetes, people with obvious cognitive impairment or people not sufficiently fluent in French were excluded. Primary outcomes were recommended processes-of-care and outcomes of care (glycosylated haemoglobin [HbA1c], generic and disease-specific health-related quality of life (HRQoL), overall care score in relation to the Chronic Care Model). Other measures included diabetes education, self-management support and self-efficacy, health status, health behaviour and demographics. RESULTS: A total of 519 patients with diabetes were included. Whereas the mean HbA1c level was 7.3% (n = 177, 95% confidence interval 7.1-7.5), diabetes-specific processes-of-care and influenza vaccination were reported by less than two-thirds of the patients. Physical activity and diet recommendations results mirrored patients' difficulties with their management in daily life and diabetes-specific HRQoL was worst in the dimensions relative to diet (eating and drinking) and sex life. A minority of patients reported ever having participated in diabetes education courses (32.8%). Overall, patients were satisfied with their care and the support they received. CONCLUSIONS: This study provides a broad picture of the experiences of people living with diabetes in the canton of Vaud. It shall guide the development of targeted interventions within the "Programme cantonal Diabète".

Resultados preliminares de las mediciones de fuerza de blanco in situ de las principales especies pelágicas. Crucero BIC Humboldt 9803-05 de Tumbes a Tacna

Se han utilizado los resultados de 144 lances ejecutados en el transcurso del Crucero 9803-05. Se compararon los histogramas de TS y los de tallas en búsqueda de correlación entre ambas a fin de determinar el factor b20 de la Ecuación de Fuerza de Blanco (20 log (LT,cm) + b20). Se han determinado nuevas ecuaciones de TS para anchoveta (38 y 120 kHz), sardina (120 kHz), jurel (38 kHz) y caballa (38 y 120 kHz). Se deberá continuar con estas mediciones puesto que un cambio en las propuestas reflectivas de los peces puede afectar la correcta obtención de los estimados de biomasa.

Comportamiento y eficiencia de la red de arrastre pelágico Engel 988/400 en el estudio de recursos pelágicos. Crucero BIC Humboldt 9803-05 de Tumbes a Tacna

Se presentan los resultados del comportamiento de la red de arrastre pelágico modelo alemán Engel 988/400 utilizada para la evaluación de los recursos pelágicos anchoveta (Engraulis ringens), sardina (Sardinops sagax sagax), jurel (Trachurus picturatus murphyi), caballa (Scomber japonicus peruanus) y samasa (Anchoa nasus) durante el Crucero Hidroacústico 9803-05 a bordo del BIC Humboldt entre Caleta La Cruz, Tumbes y Los Palos, Tacna, del 20 de marzo al 7 de mayo 1998. Se determinó la distancia entre puertas, el área de la boca de la red y el volumen de agua filtrada que tuvo la red en los arrastres efectivos de una milla náutica de distancia durante los 144 lances de comprobación, obteniéndose un buen rendimiento; se capturó un total de 39.912,14 kg, correspondiendo para anchoveta 16.838,15 kg, sardina 6.800,74 kg, jurel 1.384 kg, caballa 1.404,58 kg, samasa 8.071,8 kg y otros recursos hidrobiológicos 5.413,48 kg, con un índice de captura (CPUE) de 788,79 kg/h. Los valores de datos de comportamiento de la red como la abertura horizontal de la boca, abertura vertical, profundidad de la red y distancia entre la relinga inferior al fondo, etc., se obtuvo en forma directa por medio de una net sonda FS 900 SIMRAD, los arrastres tuvieron en promedio una duración de de 20,8 minutos con una velocidad de arrastre promedio de 3 nudos.

Molecularly defined vaccines for cancer immunotherapy, and protective T cell immunity.

Malignant cells are frequently recognized and destroyed by T cells, hence the development of T cell vaccines against established tumors. The challenge is to induce protective type 1 immune responses, with efficient Th1 and CTL activation, and long-term immunological memory. These goals are similar as in many infectious diseases, where successful immune protection is ideally induced with live vaccines. However, large-scale development of live vaccines is prevented by their very limited availability and vector immunogenicity. Synthetic vaccines have multiple advantages. Each of their components (antigens, adjuvants, delivery systems) contributes specifically to induction and maintenance of T cell responses. Here we summarize current experience with vaccines based on proteins and peptide antigens, and discuss approaches for the molecular characterization of clonotypic T cell responses. With carefully designed step-by-step modifications of innovative vaccine formulations, T cell vaccination can be optimized towards the goal of inducing therapeutic immune responses in humans.

Población de concha de abanico (Argopecten purpuratus) en el área de Chimbote. 27 noviembre a 08 diciembre 1996

Resultados del crucero de evaluación de concha de abanico, realizado en el área de Chimbote (9° a 9°21 ' S: Isla Santa, Bahía Samanco y Bahía Los Chimus), del 27 de noviembre al 08 de diciembre de 1996. Se efectuaron 144 estaciones biológicas distribuidas en cuatro estratos de profundidad y 47 estaciones oceanográficas. Las densidades y biomasas se calcularon con el método de muestreo estratificado al azar. Las tallas fluctuaron entre 5 y 102 mm de altura de la valva, moda 54 mm y media 51,9 mm. Los ejemplares de tallas comerciales (=65 mm) representaron el 16,3% de la población y el 32,4% de la biomasa; los juveniles o semillas (=25 mm), el 10,4% y 0,2% respectivamente. Predominaron individuos desovantes (52,9%) y madurantes (31,7%), con inmaduros (10,1%), desovados (4,8%) y en recuperación (0,5%). El mayor rendimiento para ejemplares de tallas comerciales fue encontrado en la Bahía de Samanco (índice 1:8:7) y para el total de ejemplares el índice fue de 1:8:6. La disponibilidad del recurso fue baja, con una densidad media de 0,225 ejemplares/m2 y una biomasa media de 0,007 kg/m2. La biomasa total se estimó en 18,9 t (±66,4%) y la población en 573.984 individuos (±46,9%). En toda el área de estudio se observó la presencia de Aguas Costeras Frías.