Modern changes of tidal troughs among the radial sand ridges in northern Jiangsu coastal zone

Using satellite images taken on different dates, GIS analysis of aerial photos, bathymetric maps and other field survey data, tidal troughs and major sand ridges in the northern Jiangsu coastal area were contrasted. The results show that there have been three types of movement or migration of tidal trough in this area: (1) Periodic and restricted, this type of trough usually developed along the beaches with immobile gully head as a result of the artificial dams and the swing range increased from gully head to the low reaches, so they have been obviously impacted by human activity and have longer swing periods; (2) Periodic and actively, this kind of trough, which swung with a fast rate and moved periodically on sand ridges, were mainly controlled by the swings of the host tidal troughs and hydrodynamic forces upon tidal sand ridge and influenced slightly by human constructions; (3) Steadily and slowly, they are the main tidal troughs with large scale and a steady orientation in this area and have slow lateral movement. The differences in migration mode of tidal trough shift result in different rates of migration and impact upon tidal sand ridges. Lateral accumulation on current tidal trough and deposition on abandoned tidal troughs are the two types of sedimentation of the tidal sand ridges formation. The whole radial sand ridge was generally prone to division and retreat although sand ridges fluctuated by the analysis of changes in talwegs of tidal troughs and shorelines of sand ridges.

Sedimentation rates and provenance analysis in the Southwestern Okinawa Trough since the mid-Holocene

As a high-sedimentation rate depocenter along the path of the Kuroshio Current, the southwesternmost part of the Okinawa Trough is a key area to understand the Kuroshio history and sediments transportation. A 34.17-m-long sediment core was obtained by the advanced piston corer of Marco Polo/IMAGES XII MARION DUFRESNE during the May 2005 from the Southern Okinawa Trough at site MD05-2908. The recovered sediments were analyzed by AMS C-14 dating, coarse size fraction (> 63 mu m) extraction and moisture content determination in order to study its sedimentation flux and provenance. The depth-age relationship of core MD05-2908 was well constrained by 17 C-14 dating points. The sediments span across the mid-Holocene (6.8 ka B.P.) and have remarkablely high sedimentation rates between 1.8 and 21-2 m/ka, which is well consistent with the modern observations from sediment traps. We identified five 70-200 a periods of abnormally rapid sedimentation events at 6790-6600 a B.P., 5690-5600 a B.P., 4820-4720 a B.P., 1090-880 a B.P., and 260-190 a B.P., during which the highest sedimentation rate is up to 21-2 m/ka. In general, the lithology of the sediments were dominated by silt and clay, associated with less than 5% coarse size fraction (a parts per thousand << 63 mu m). As the most significant sediment source, the Lanyang River in northeastern Taiwan annually deliver about 10Mt materials to the coastal and offshore region of northeast Taiwan, a portion of which could be carried northward by currents toward the study area. Therefore, we concluded that the 5 abnormally rapid sedimentation events may be related to intensified rainfall in Taiwan and thus increased materials to our study area at that time. However, a few extreme-rapid sedimentation events cannot be explained by normal river runoff alone. The large earthquakes or typhoons induced hyperpycnal discharge of fluvial sediment to the ocean may also act as a potential source supply to the Okinawa Trough.

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Junggar Basin has a large amount of recoverable reserves, However, due to the unfavorable factors, such as bad seismic data quality, complex structure with many faults and less wells, the exploration of oil and gas is still relatively limited, so advanced theoretical guidance and effective technical supports are desirable. Based on the theories of sedimentology, as well as comprehensive studies of outcrops, seismic data, drilling data and setting of this area, the paper establishes the isochronous correlation framework, and analyzes the sedimentary facies types and provenance direction, and obtains the profile and plain maps of the sedimentary facies combined with the logging constrained inversion. Then the paper analyzes the reservoir controlling factors, reservoir lithology attribute, 4-property relationship and sensibility based on the sedimentary facies research, and sets up a 3D geological model using facies controlled modeling. Finally, the paper optimizes some target areas with the conclusions of reservoir, structure and reservoir formation.Firstly, the paper establishs the isochronous correlation framework by the seismic data, drilling data and setting of this area. The sedimentary facies in Tai13 well block are braided river and meandering river according to the analysis of the lithology attribute, logging facies and sedimentary structure attribute of outcrop. The concept of ���wetland��� is put forward for the first time. The provenance direction of Badaowan and Qigu formation is obtained by the geology setting, sedimentary setting and paleocurrent direction. The paper obtains the profile and plain maps of the sedimentary facies from the sand value of the wells and the sand thickness maps from the logging constrained inversion. Then, this paper takes characteristics and control factors of the Jurassic reservoirs analysis on thin section observation, scanning transmission electron microscope observation and find out the petrology characteristics of reservoir, space types of reservoir and lithofacies division. In this area, primary pores dominate in the reservoir pores, which believed that sedimentation played the most important roles of the reservoir quality and diagenesis is the minor factor influencing secondary porosity. Using stochastic modeling technique���the paper builds quantitative 3-D reservoir Parameter. Finally, combined the study of structure and reservoir formation, the reservoir distribution regularity is concluded: (a) structures control the reservoir formation and accumulation. (b) Locating in the favorable sedimentary facies belt. And the area which meets these conditions mentioned above is a good destination for exploration.

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In order to developing reservoir of Upper of Ng at high-speed and high-efficient in Chengdao oilfield which is located in the bally shallow sea, the paper builds up a series of theory and means predicting and descripting reservoir in earlier period of oilfield development. There are some conclusions as follows. 1. It is the first time to form a series of technique of fine geological modeling of the channel-sandy reservoir by means of mainly seismic methods. These technique include the logging restriction seismic inversion, the whole three dimension seismic interpretation, seismic properties analysis and so on which are used to the 3-dimension distributing prediction of sandy body, structure and properties of the channel reservoir by a lot of the seismic information and a small quantity of the drilling and the logging information in the earlier stage of the oil-field development. It is the first time that these methods applied to production and the high-speed development of the shallow sea oilfield. The prediction sandy body was modified by the data of new drilling, the new reservoir prediction thinking of traced inversion is built. The applied effect of the technique was very well, according to approximately 200 wells belonging to 30 well groups in Chengdao oilfield, the drilling succeeded rate of the predicting sandy body reached 100%, the error total thickness only was 8%. 2. The author advanced the thinking and methods of the forecasting residual-oil prediction at the earlier stage of production. Based on well data and seismic data, correlation of sediment units was correlated by cycle-correlation and classification control methods, and the normalization and finely interpretation of the well logging and sedimentation micro-facies were acquired. On the region of poor well, using the logging restriction inversion technique and regarding finished drilling production well as the new restriction condition, the sand body distributing and its property were predicted again and derived 3-dimension pool geologic model including structure, reservoir, fluid, reservoir engineering parameter and producing dynamic etc. According to the reservoir geologic model, the reservoir engineering design was optimized, the tracking simulation of the reservoir numerical simulation was done by means of the dynamic data (pressure, yield and water content) of development well, the production rule and oil-water distributing rule was traced, the distributing of the remaining oil was predicted and controlled. The dynamic reservoir modeling method in metaphase of development was taken out. Based on the new drilling data, the static reservoir geologic model was momentarily modified, the research of the flow units was brought up including identifying flow units, evaluating flow units capability and establishing the fine flow units model; according to the dynamic data of production and well testing data, the dynamic tracing reservoir description was realized through the constant modification of the reservoir geologic model restricted these dynamic data by the theory of well testing and the reservoir numerical simulation. It was built the dynamic tracing reservoir model, which was used to track survey of the remaining oil on earlier period. The reservoir engineering tracking analysis technique on shallow sea oilfield was founded. After renewing the structure history since tertiary in Chengdao area by the balance section technique and estimating the activity character of the Chengbei fault by the sealing fault analysis technique, the meandering stream sediment pattern of the Upper of Ng was founded in which the meandering border was the uppermost reservoir unit. Based on the specialty of the lower rock component maturity and the structure maturity, the author founded 3 kinds of pore structure pattern in the Guanshang member of Chengdao oil-field in which the storing space mainly was primary (genetic) inter-granular pore, little was secondary solution pore and the inter-crystal pore tiny pore, and the type of throat mainly distributed as the slice shape and the contract neck shape. The positive rhythmic was briefly type included the simple positive rhythm, the complex positive rhythm and the compound rhythm. Interbed mainly is mudstone widely, the physical properties and the calcite interbed distribute localized. 5. The author synthetically analyzed the influence action of the micro-heterogeneity, the macro-heterogeneity and the structure heterogeneity to the oilfield water flood development. The efficiency of water flood is well in tiny structure of convex type or even type at top and bottom in which the water breakthrough of oil well is soon at the high part of structure when inject at the low part of structure, and the efficiency of water flood is poor in tiny structure of concave type at top and bottom. The remaining oil was controlled by sedimentary facies; the water flooding efficiency is well in the border or channel bar and is bad in the floodplain or the levee. The separation and inter layer have a little influence to the non-obvious positive rhythm reservoir, in which the remaining oil commonly locate within the 1-3 meter of the lower part of the separation and inter layer with lower water flooding efficiency.

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Ordos Basin is a typical cratonic petroliferous basin with 40 oil-gas bearing bed sets. It is featured as stable multicycle sedimentation, gentle formation, and less structures. The reservoir beds in Upper Paleozoic and Mesozoicare are mainly low density, low permeability, strong lateral change, and strong vertical heterogeneous. The well-known Loess Plateau in the southern area and Maowusu Desert, Kubuqi Desert and Ordos Grasslands in the northern area cover the basin, so seismic data acquisition in this area is very difficult and the data often takes on inadequate precision, strong interference, low signal-noise ratio, and low resolution. Because of the complicated condition of the surface and the underground, it is very difficult to distinguish the thin beds and study the land facies high-resolution lithologic sequence stratigraphy according to routine seismic profile. Therefore, a method, which have clearly physical significance, based on advanced mathematical physics theory and algorithmic and can improve the precision of the detection on the thin sand-peat interbed configurations of land facies, is in demand to put forward.Generalized S Transform (GST) processing method provides a new method of phase space analysis for seismic data. Compared with wavelet transform, both of them have very good localization characteristics; however, directly related to the Fourier spectra, GST has clearer physical significance, moreover, GST adopts a technology to best approach seismic wavelets and transforms the seismic data into time-scale domain, and breaks through the limit of the fixed wavelet in S transform, so GST has extensive adaptability. Based on tracing the development of the ideas and theories from wavelet transform, S transform to GST, we studied how to improve the precision of the detection on the thin stratum by GST.Noise has strong influence on sequence detecting in GST, especially in the low signal-noise ratio data. We studied the distribution rule of colored noise in GST domain, and proposed a technology to distinguish the signal and noise in GST domain. We discussed two types of noises: white noise and red noise, in which noise satisfy statistical autoregression model. For these two model, the noise-signal detection technology based on GST all get good result. It proved that the GST domain noise-signal detection technology could be used to real seismic data, and could effectively avoid noise influence on seismic sequence detecting.On the seismic profile after GST processing, high amplitude energy intensive zone, schollen, strip and lentoid dead zone and disarray zone maybe represent specifically geologic meanings according to given geologic background. Using seismic sequence detection profile and combining other seismic interpretation technologies, we can elaborate depict the shape of palaeo-geomorphology, effectively estimate sand stretch, distinguish sedimentary facies, determine target area, and directly guide oil-gas exploration.In the lateral reservoir prediction in XF oilfield of Ordos Basin, it played very important role in the estimation of sand stretch that the study of palaeo-geomorphology of Triassic System and the partition of inner sequence of the stratum group. According to the high-resolution seismic profile after GST processing, we pointed out that the C8 Member of Yanchang Formation in DZ area and C8 Member in BM area are the same deposit. It provided the foundation for getting 430 million tons predicting reserves and unite building 3 million tons off-take potential.In tackling key problem study for SLG gas-field, according to the high-resolution seismic sequence profile, we determined that the deposit direction of H8 member is approximately N-S or NNE-SS W. Using the seismic sequence profile, combining with layer-level profile, we can interpret the shape of entrenched stream. The sunken lenticle indicates the high-energy stream channel, which has stronger hydropower. By this way we drew out three high-energy stream channels' outline, and determined the target areas for exploitation. Finding high-energy braided river by high-resolution sequence processing is the key technology in SLG area.In ZZ area, we studied the distribution of the main reservoir bed-S23, which is shallow delta thin sand bed, by GST processing. From the seismic sequence profile, we discovered that the schollen thick sand beds are only local distributed, and most of them are distributary channel sand and distributary bar deposit. Then we determined that the S23 sand deposit direction is NW-SE in west, N-S in central and NE-SW in east. The high detecting seismic sequence interpretation profiles have been tested by 14 wells, 2 wells mismatch and the coincidence rate is 85.7%. Based on the profiles we suggested 3 predicted wells, one well (Yu54) completed and the other two is still drilling. The completed on Is coincident with the forecastThe paper testified that GST is a effective technology to get high- resolution seismic sequence profile, compartmentalize deposit microfacies, confirm strike direction of sandstone and make sure of the distribution range of oil-gas bearing sandstone, and is the gordian technique for the exploration of lithologic gas-oil pool in complicated areas.

An alphavirus vector overcomes the presence of neutralizing antibodies and elevated numbers of Tregs to induce immune responses in humans with advanced cancer.

Therapeutic anticancer vaccines are designed to boost patients' immune responses to tumors. One approach is to use a viral vector to deliver antigen to in situ DCs, which then activate tumor-specific T cell and antibody responses. However, vector-specific neutralizing antibodies and suppressive cell populations such as Tregs remain great challenges to the efficacy of this approach. We report here that an alphavirus vector, packaged in virus-like replicon particles (VRP) and capable of efficiently infecting DCs, could be repeatedly administered to patients with metastatic cancer expressing the tumor antigen carcinoembryonic antigen (CEA) and that it overcame high titers of neutralizing antibodies and elevated Treg levels to induce clinically relevant CEA-specific T cell and antibody responses. The CEA-specific antibodies mediated antibody-dependent cellular cytotoxicity against tumor cells from human colorectal cancer metastases. In addition, patients with CEA-specific T cell responses exhibited longer overall survival. These data suggest that VRP-based vectors can overcome the presence of neutralizing antibodies to break tolerance to self antigen and may be clinically useful for immunotherapy in the setting of tumor-induced immunosuppression.

Advanced glycation alters expression of the 67kDa laminin receptor in retinal microvascular endothelial cells

The 67kDa laminin receptor (67LR) plays an important role in vascular cell function and dysfunction. The present study has examined 67LR expression in retinal microvascular endothelial cells after exposure to AGEs. Retinal microvascular endothelial cells were exposed to either AGE-BSA, or were grown on methylglyoxal-modified laminin or Matrigel (TM) and expression of 67LR analysed by Western Blotting and RT-PCR/Southern blotting. Western blotting of plasma membrane and RT-PCR/Southern blotting revealed a significant upregulation of 67LR protein/mRNA expression after exposure to AGEs (p

Late Pleistocene history of turbidite sedimentation in a submarine canyon off the northern Great Barrier Reef, Australia

Cores from slopes east of the Great Barrier Reef (GBR) challenge traditional models for sedimentation on tropical mixed siliciclastic-carbonate margins. However, satisfactory explanations of sediment accumulation on this archetypal margin that include both hemipelagic and turbidite sedimentation remain elusive, as submarine canyons and their role in delivering coarse-grained turbidite deposits, are poorly understood. Towards addressing this problem we investigated the shelf and canyon system bordering the northern Ribbon Reefs and reconstructed the history of turbidite deposition since the Late Pleistocene. High-resolution bathymetric and seismic data show a large paleo-channel system that crosses the shelf before connecting with the canyons via the inter-reef passages between the Ribbon Reefs. High-resolution bathymetry of the canyon axis reveals a complex and active system of channels, sand waves, and local submarine landslides. Multi-proxy examination of three cores from down the axis of the canyon system reveals 18 turbidites and debrites, interlayered with hemipelagic muds, that are derived from a mix of shallow and deep sources. Twenty radiocarbon ages indicate that siliciclastic-dominated and mixed turbidites only occur prior to 31 ka during Marine Isotope Stage (MIS) 3, while carbonate-dominated turbidites are well established by 11 ka in MIS1 until as recently as 1.2 ka. The apparent lack of siliciclastic-dominated turbidites and presence of only a few carbonate-dominated turbidites during the MIS2 lowstand are not consistent with generic models of margin sedimentation but might also reflect a gap in the turbidite record. These data suggest that turbidite sedimentation in the Ribbon Reef canyons, probably reflects the complex relationship between the prolonged period (&gt; 25 ka) of MIS3 millennial sea level changes and local factors such as the shelf, inter-reef passage depth, canyon morphology and different sediment sources. On this basis we predict that the spatial and temporal patterns of turbidite sedimentation could vary considerably along the length of the GBR margin.

Ferroelectric : CNTs structures fabrication for advanced functional nano devices

This work is about the combination of functional ferroelectric oxides with Multiwall Carbon Nanotubes for microelectronic applications, as for example potential 3 Dimensional (3D) Non Volatile Ferroelectric Random Access Memories (NVFeRAM). Miniaturized electronics are ubiquitous now. The drive to downsize electronics has been spurred by needs of more performance into smaller packages at lower costs. But the trend of electronics miniaturization challenges board assembly materials, processes, and reliability. Semiconductor device and integrated circuit technology, coupled with its associated electronic packaging, forms the backbone of high-performance miniaturized electronic systems. However, as size decreases and functionalization increases in the modern electronics further size reduction is getting difficult; below a size limit the signal reliability and device performance deteriorate. Hence miniaturization of siliconbased electronics has limitations. On this background the Road Map for Semiconductor Industry (ITRS) suggests since 2011 alternative technologies, designated as More than Moore; being one of them based on carbon (carbon nanotubes (CNTs) and graphene) [1]. CNTs with their unique performance and three dimensionality at the nano-scale have been regarded as promising elements for miniaturized electronics [2]. CNTs are tubular in geometry and possess a unique set of properties, including ballistic electron transportation and a huge current caring capacity, which make them of great interest for future microelectronics [2]. Indeed CNTs might have a key role in the miniaturization of Non Volatile Ferroelectric Random Access Memories (NVFeRAM). Moving from a traditional two dimensional (2D) design (as is the case of thin films) to a 3D structure (based on a tridimensional arrangement of unidimensional structures) will result in the high reliability and sensing of the signals due to the large contribution from the bottom electrode. One way to achieve this 3D design is by using CNTs. Ferroelectrics (FE) are spontaneously polarized and can have high dielectric constants and interesting pyroelectric, piezoelectric, and electrooptic properties, being a key application of FE electronic memories. However, combining CNTs with FE functional oxides is challenging. It starts with materials compatibility, since crystallization temperature of FE and oxidation temperature of CNTs may overlap. In this case low temperature processing of FE is fundamental. Within this context in this work a systematic study on the fabrication of CNTs - FE structures using low cost low temperature methods was carried out. The FE under study are comprised of lead zirconate titanate (Pb1-xZrxTiO3, PZT), barium titanate (BaTiO3, BT) and bismuth ferrite (BiFeO3, BFO). The various aspects related to the fabrication, such as effect on thermal stability of MWCNTs, FE phase formation in presence of MWCNTs and interfaces between the CNTs/FE are addressed in this work. The ferroelectric response locally measured by Piezoresponse Force Microscopy (PFM) clearly evidenced that even at low processing temperatures FE on CNTs retain its ferroelectric nature. The work started by verifying the thermal decomposition behavior under different conditions of the multiwall CNTs (MWCNTs) used in this work. It was verified that purified MWCNTs are stable up to 420 ��C in air, as no weight loss occurs under non isothermal conditions, but morphology changes were observed for isothermal conditions at 400 ��C by Raman spectroscopy and Transmission Electron Microscopy (TEM). In oxygen-rich atmosphere MWCNTs started to oxidized at 200 ��C. However in argon-rich one and under a high heating rate MWCNTs remain stable up to 1300 ��C with a minimum sublimation. The activation energy for the decomposition of MWCNTs in air was calculated to lie between 80 and 108 kJ/mol. These results are relevant for the fabrication of MWCNTs ��� FE structures. Indeed we demonstrate that PZT can be deposited by sol gel at low temperatures on MWCNTs. And particularly interesting we prove that MWCNTs decrease the temperature and time for formation of PZT by ~100 ��C commensurate with a decrease in activation energy from 68��15 kJ/mol to 27��2 kJ/mol. As a consequence, monophasic PZT was obtained at 575 ��C for MWCNTs - PZT whereas for pure PZT traces of pyrochlore were still present at 650 ��C, where PZT phase formed due to homogeneous nucleation. The piezoelectric nature of MWCNTs - PZT synthesised at 500 ��C for 1 h was proved by PFM. In the continuation of this work we developed a low cost methodology of coating MWCNTs using a hybrid sol-gel / hydrothermal method. In this case the FE used as a proof of concept was BT. BT is a well-known lead free perovskite used in many microelectronic applications. However, synthesis by solid state reaction is typically performed around 1100 to 1300 ��C what jeopardizes the combination with MWCNTs. We also illustrate the ineffectiveness of conventional hydrothermal synthesis in this process due the formation of carbonates, namely BaCO3. The grown MWCNTs - BT structures are ferroelectric and exhibit an electromechanical response (15 pm/V). These results have broad implications since this strategy can also be extended to other compounds of materials with high crystallization temperatures. In addition the coverage of MWCNTs with FE can be optimized, in this case with non covalent functionalization of the tubes, namely with sodium dodecyl sulfate (SDS). MWCNTs were used as templates to grow, in this case single phase multiferroic BFO nanorods. This work shows that the use of nitric solvent results in severe damages of the MWCNTs layers that results in the early oxidation of the tubes during the annealing treatment. It was also observed that the use of nitric solvent results in the partial filling of MWCNTs with BFO due to the low surface tension (<119 mN/m) of the nitric solution. The opening of the caps and filling of the tubes occurs simultaneously during the refluxing step. Furthermore we verified that MWCNTs have a critical role in the fabrication of monophasic BFO; i.e. the oxidation of CNTs during the annealing process causes an oxygen deficient atmosphere that restrains the formation of Bi2O3 and monophasic BFO can be obtained. The morphology of the obtained BFO nano structures indicates that MWCNTs act as template to grow 1D structure of BFO. Magnetic measurements on these BFO nanostructures revealed a week ferromagnetic hysteresis loop with a coercive field of 956 Oe at 5 K. We also exploited the possible use of vertically-aligned multiwall carbon nanotubes (VA-MWCNTs) as bottom electrodes for microelectronics, for example for memory applications. As a proof of concept BiFeO3 (BFO) films were in-situ deposited on the surface of VA-MWCNTs by RF (Radio Frequency) magnetron sputtering. For in situ deposition temperature of 400 ��C and deposition time up to 2 h, BFO films cover the VA-MWCNTs and no damage occurs either in the film or MWCNTs. In spite of the macroscopic lossy polarization behaviour, the ferroelectric nature, domain structure and switching of these conformal BFO films was verified by PFM. A week ferromagnetic ordering loop was proved for BFO films on VA-MWCNTs having a coercive field of 700 Oe. Our systematic work is a significant step forward in the development of 3D memory cells; it clearly demonstrates that CNTs can be combined with FE oxides and can be used, for example, as the next 3D generation of FERAMs, not excluding however other different applications in microelectronics.

Colonoscopia virtual e DNA fecal : estudo de viabilidade como testes de rastreio do cancro colorretal

Tese de doutoramento, Cirurgia Geral (Medicina), Universidade de Lisboa, Faculdade de Medicina, 2014

Ensaios avan��ados com fibras ��pticas = advanced characterization of optical fibers

Trabalho Final de Mestrado para obten����o do grau de Mestre em Engenharia de Electr��nica e Telecomunica����es

Uso de la matriz extracelular como material para ingenier��a de tejidos

Introducci��n: La evaluaci��n de injertos vasculares de submucosa de intestino delgado para la regeneraci��n de vasos sangu��neos ha producido una permeabilidad variable (0-100%) que ha sido concurrente con la variabilidad en las t��cnicas de fabricaci��n. Metodolog��a: Investigamos los efectos de fabricaci��n en permeabilidad y regeneraci��n en un dise��o experimental de 22factorial que combino: 1) preservaci��n (P) o remoci��n (R) de la capa estratum compactum del intestino, y 2) deshidratada (D) o hidratada (H), dentro de cuatro grupos de estudio (PD, RD, PH, RH). Los injertos fueron implantados en las Arterias Car��tidas de porcinos (ID 4.5mm, N=4, 7d). Permeabilidad, trombogenicidad, reacci��n inflamatoria, vascularizaci��n, infiltraci��n de fibroblastos, perfil de polarizaci��n de macr��fagos y fuerza tensil biaxial fueron evaluadas. Resultados: Todos los injertos PD permanecieron permeables (4/4), pero tuvieron escasa vascularizaci��n e infiltraci��n de fibroblastos. El grupo RD permaneci�� permeable (4/4), present�� una extensa vascularizaci��n e infiltraci��n de fibroblastos, y el mayor n��mero del fenotipo de macr��fagos (M2) asociado a regeneraci��n. El grupo RH present�� menor permeabilidad (3/4), una extensa vascularizaci��n e infiltraci��n de fibroblastos, y un perfil dominante de M2. El grupo PH present�� el menor grado de permeabilidad, y a pesar de mayor infiltraci��n celular que PD, exhibi�� un fenotipo de macr��fagos dominante adverso. La elasticidad de los injertos R evolucion�� de una manera similar a las Car��tidas nativas (particularmente RD, mientras que los injertos P mantuvieron su rigidez inicial. Discusi��n: Concluimos que los par��metros de fabricaci��n afectan dr��sticamente los resultados, siendo los injertos RD los que arrojaron mejores resultados.

Impacto de dos t��cnicas quir��rgicas sobre la reca��da local de carcinoma de mama en pacientes de una cl��nica de Bogot�� D.C.

Introducci��n: El carcinoma de mama es el tumor maligno m��s frecuente entre las mujeres y representa una significativa mortalidad en los pa��ses en v��as de desarrollo. Seg��n datos del Instituto Nacional de Cancerolog��a en el 2010 se reportaron 672 nuevos casos de c��ncer de mama, lo que represent�� el 18% de todos los tumores malignos en mujeres. Durante las ��ltimas 3 d��cadas las t��cnicas quir��rgicas para el tratamiento del c��ncer de mama han presentado un cambio significativo y proponen disminuci��n de procedimientos agresivos y radicales, intervenciones como: mastectom��a radical modificada, cirug��a conservadora y la disecci��n de ganglio centinela son ejemplos claros de esta evoluci��n asociado al incremento de la reconstrucci��n mamaria inmediata. Metodolog��a: Estudio observacional tipo cohorte retrospectivo en el cual se revis�� una base de datos de pacientes con c��ncer de mama de las cuales 632 fueron sometidas a mastectom��a radical con preservaci��n de piel y complejo areola-pez��n y mastectom��a radical con preservaci��n de piel sin preservaci��n del complejo areola-pez��n, los dos procedimientos asociados a reconstrucci��n mamaria inmediata y se compar�� la frecuencia de reca��da local entre los dos grupos. Resultados: De las 632 pacientes estudiadas al 30.5% se les realizo preservaci��n del complejo areola pez��n. Las mujeres a quienes se les realiz�� preservaci��n del complejo areola pez��n presentaron menor sobrevida a la reca��da local a 10 a��os (80.51%) comparado con las mujeres a quienes no se les preserv�� el complejo areola pez��n (87.40%), sin embargo no se encontr�� diferencia estad��sticamente significativa para determinar que las probabilidades de sobrevida sean diferentes. Discusi��n: No se evidenci�� diferencia estad��sticamente significativa entre los 2 procedimientos quir��rgicos (con y sin preservaci��n del complejo areola pez��n) en relaci��n a la reca��da local, estudios retrospectivos no han evidenciado una mayor tasa de reca��das locales en pacientes a quienes se les preserva el complejo areola-pez��n, sin embargo hacen falta estudios prospectivos y aleatorizados que puedan otorgar un mayor sustento cient��fico que garantice la seguridad de la preservaci��n del complejo areola-pez��n.

Impacto de dos t��cnicas quir��rgicas sobre la reca��da local de carcinoma de mama en pacientes de una cl��nica de Bogot�� D.C.

Introducci��n: El carcinoma de mama es el tumor maligno m��s frecuente entre las mujeres y representa una significativa mortalidad en los pa��ses en v��as de desarrollo. Seg��n datos del Instituto Nacional de Cancerolog��a en el 2010 se reportaron 672 nuevos casos de c��ncer de mama, lo que represent�� el 18% de todos los tumores malignos en mujeres. Durante las ��ltimas 3 d��cadas las t��cnicas quir��rgicas para el tratamiento del c��ncer de mama han presentado un cambio significativo y proponen disminuci��n de procedimientos agresivos y radicales, intervenciones como: mastectom��a radical modificada, cirug��a conservadora y la disecci��n de ganglio centinela son ejemplos claros de esta evoluci��n asociado al incremento de la reconstrucci��n mamaria inmediata. Metodolog��a: Estudio observacional tipo cohorte retrospectivo en el cual se revis�� una base de datos de pacientes con c��ncer de mama de las cuales 632 fueron sometidas a mastectom��a radical con preservaci��n de piel y complejo areola- pez��n y mastectom��a radical con preservaci��n de piel sin preservaci��n del complejo areola-pez��n, los dos procedimientos asociados a reconstrucci��n mamaria inmediata y se compar�� la frecuencia de reca��da local entre los dos grupos. Resultados: De las 632 pacientes estudiadas al 30.5% se les realizo preservaci��n del complejo areola pez��n. Las mujeres a quienes se les realiz�� preservaci��n del complejo areola pez��n presentaron menor sobrevida a la reca��da local a 10 a��os (80.51%) comparado con las mujeres a quienes no se les preserv�� el complejo areola pez��n (87.40%), sin embargo no se encontr�� diferencia estad��sticamente significativa para determinar que las probabilidades de sobrevida sean diferentes. Discusi��n: No se evidenci�� diferencia estad��sticamente significativa entre los 2 procedimientos quir��rgicos (con y sin preservaci��n del complejo areola pez��n) en relaci��n a la reca��da local, estudios retrospectivos no han evidenciado una mayor tasa de reca��das locales en pacientes a quienes se les preserva el complejo areola-pez��n, sin embargo hacen falta estudios prospectivos y aleatorizados que puedan otorgar un mayor sustento cient��fico que garantice la seguridad de la preservaci��n del complejo areola-pez��n.