The risk of subsequent cancer and arterial cardiovascular events in patients with superficial vein thrombosis in the legs.

Although it has been clearly demonstrated that venous thromboembolism is associated with an increased risk of subsequent overt cancer and arterial cardiovascular events in comparison with control populations, whether this association also applies to patients with isolated (ie, without concomitant involvement of the deep vein system) superficial vein thrombosis (SVT) in the legs is unknown. In 737 consecutive patients with isolated SVT not involving the sapheno-femoral junction, we conducted a retrospective investigation to assess the rate of cancer and that of arterial cardiovascular events occurring during follow-up. The event rates were compared with those occurring in 1438 controls having comparable characteristics. Both cases and controls were followed-up for an average period of 26 ± 8 months (range, 3-45). Malignancy was diagnosed in 26 cases (3.5%) and 56 controls (3.9%), leading to a hazard ratio of 0.86 (95% confidence interval, 0.55%-1.35%). Arterial cardiovascular events occurred in 32 cases (4.3%) and 63 controls (4.4%), leading to a hazard ratio of 0.97 (95% confidence interval, 0.63%-1.50%). We conclude that the occurrence of isolated SVT in the legs does not place patients at an increased risk of malignancies or arterial cardiovascular events. Whether this conclusion also applies to patients whose thrombosis involves the sapheno-femoral junction remains to be demonstrated.

Latissimus dorsi muscle-flap over Gore-Tex patch for coverage of large thoracic defects in paediatric Ewing sarcoma.

Primary rib involvement accounts for 16% of paediatric Ewing sarcoma (ES). Neo-adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single-stage resection and reconstruction were performed using a Gore-Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar fascia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth.

Variaciones estacionales del viento superficial frente al Perú entre enero 1982 y junio 1987

Estudio de las variaciones del viento en el Callao durante enero de 1982 y junio 1987. Comparación del periodo caliente de 1982 y 1983 y los periodos normales.

Características del fitoplancton superficial en Paita, Chimbote, Callao, Pisco e Ilo (MOPAS 9510) 21 - 27 de octubre de 1995

Informa sobre los volúmenes de plancton superficial así como la distribución y composición especiológica de la comunidad fitoplanctónica, teniendo en consideración a los indicadores biológicos.

Structural covariance of superficial white matter in mild Alzheimer's disease compared to normal aging.

INTRODUCTION: Interindividual variations in regional structural properties covary across the brain, thus forming networks that change as a result of aging and accompanying neurological conditions. The alterations of superficial white matter (SWM) in Alzheimer's disease (AD) are of special interest, since they follow the AD-specific pattern characterized by the strongest neurodegeneration of the medial temporal lobe and association cortices. METHODS: Here, we present an SWM network analysis in comparison with SWM topography based on the myelin content quantified with magnetization transfer ratio (MTR) for 39 areas in each hemisphere in 15 AD patients and 15 controls. The networks are represented by graphs, in which nodes correspond to the areas, and edges denote statistical associations between them. RESULTS: In both groups, the networks were characterized by asymmetrically distributed edges (predominantly in the left hemisphere). The AD-related differences were also leftward. The edges lost due to AD tended to connect nodes in the temporal lobe to other lobes or nodes within or between the latter lobes. The newly gained edges were mostly confined to the temporal and paralimbic regions, which manifest demyelination of SWM already in mild AD. CONCLUSION: This pattern suggests that the AD pathological process coordinates SWM demyelination in the temporal and paralimbic regions, but not elsewhere. A comparison of the MTR maps with MTR-based networks shows that although, in general, the changes in network architecture in AD recapitulate the topography of (de)myelination, some aspects of structural covariance (including the interhemispheric asymmetry of networks) have no immediate reflection in the myelination pattern.

El fitoplancton superficial durante el crucero de evaluación hidroacústica de recursos pelágicos en el invierno 1998

Describe los volúmenes de plancton, la distribución, composición e indicadores del fitoplancton de superficie el Crucero de Evaluación Hidroacústica de Recursos Pelágicos 9808-09. Los volúmenes de plancton estuvieron en un rango de 0,01 a 23,3 mL/m3; el primero en la estación costera al norte de Pimentel y el otro al frente de Matarani, con un promedio de 1,16 mL/m3. Se apreció un elevado porcentaje (73%) con valores menores a 1,0 mL/m3. La comunidad planctónica fue muy variada, destacando diferentes organismos del zooplancton. En el fitoplancton resaltaron especies neríticas y de alta tasa de reproducción; diatomeas oceánicas predominaron a distancias mayores de 60 mn. Los dinoflagelados no abundaron pero se distribuyeron ampliamente con mayor riqueza de especies termófilas a distancias mayores de 30 mn.

Cartas mensuales de temperatura superficial del mar frente a las costas de Ecuador, Perú y Chile durante el año 1969

Presenta datos de barcos mercantes y de la marina que operan frente a la costa peruana, así como de estaciones y plantas industriales distribuídas a lo largo del litortal, los cuales facilitan información sobre la temperatura superficial del mar y otras complementarias, con el fin de orientar a la actividad pesquera e industrias conexas para un aprovechamiento efectivo de los recursos, haciendo prediucciones a corto y largo plazo sobre las condiciones del mar.

Cartas de temperatura superficial promedio del mar, frente a las costas del Perú, durante Agosto y Setiembre de 1970

Brinda información sobre la temperatura superficial del mar, con el fin de orientar a la actividad pesquera e industrias conexas para un aprovechamiento efectivo de los recursos, haciendo predicciones a corto y largo plazo sobre las condiciones del mar.

Cartas de temperatura superficial promedio del mar, durante Octubre de 1970

Brinda información sobre la temperatura superficial del mar, con el fin de orientar a la actividad pesquera e industrias conexas para un aprovechamiento efectivo de los recursos, haciendo predicciones a corto y largo plazo sobre las condiciones del mar.

Superficial soft tissue sarcomas (S-STS): a study of 367 patients from the French Sarcoma Group (FSG) database.

AIM: The specific natural history of superficial soft tissue sarcomas (S-STS) has been rarely considered. We describe the clinical characteristics of a large series of S-STS (N=367) from the French Sarcoma Group (GSF-GETO) database and analyse the prognostic factors affecting outcome. METHODS: We performed univariate and multivariate analyses for overall survival (OS), metastasis-free survival (MFS) and local recurrence-free survival (LRFS). RESULTS: The median age was 59 years. Fifty-eight percent patients were female. Tumour locations were as follows: extremities, 55%; trunk wall, 35.4%; head and neck, 8% and unknown, 1.6%. Median tumour size was 3.0 cm. The most frequent tumour types were unclassified sarcoma (24.3%) and leiomyosarcoma (22.3%). Thirty-three percent of cases were grade 3. Median follow-up was 6.18 years. The 5-year OS, MFS and LRFS rates were 80.9%, 80.7% and 74.7%, respectively. Multivariate analysis retained histological type and wide resection for predicting LRFS and histological type and grade as prognostic factors of MFS. The factors influencing OS were age, histological type, grade and wide resection. STS with early invasion into but not through the underlying fascia had a significantly poorer MFS than with strict S-STS. CONCLUSION: S-STS represent a separate category characterised by a better outcome. Adequate surgery, i.e. wide resection, is essential in the management of S-STS.