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Purpose: In the era of biological therapy of ulcerative colitis (UC), surgical treatment frequently consists of colectomy, end ileostomy, and rectal stump closure before patients go on towards restorative proctocolectomy. We aimed to evaluate possible risk factors for the occurrence of postoperative complications and investigate those after initial colectomy in these patients. Methods: Retrospective analysis of 180 patients (76 female, 104 male) undergoing colectomy for UC with formation of a rectal stump and terminal ileostomy between March 2008 and March 2018 at Charité University Hospital Berlin, Campus Benjamin Franklin. A panel of possible postoperative complications was established, patient history was screened, and postoperative complications were analyzed using the Clavien Dindo Classification. Results: Postoperative complication rate was 27.7%. Mortality was 0.5%. Postoperative ileus occurred in 15.3% and rectal stump leakage in 14.8%. Complications were categorized as Clavien Dindo 3 in 80%. Risk factors for surgical complications after multivariate analysis were ASA classification (p = 0.004), preoperative anemia (Hemoglobin < 8 mg/dl) (p = 0.025), use of immunosuppressants (p = 0.003), more than two cardiovascular diseases (p = 0.016), and peritonitis (p = 0.000). Reoperation rate of patients with surgical complications was 27.7%. Conclusion: Colectomy in high-risk UC patients is associated with significant morbidity. However, most of the surgical complications can be treated conservatively. Overall mortality is low. Patient-related risk factors are associated with postoperative complications. Optimizing these risk factors or earlier indication for surgery in the course of UC may help to reduce morbidity of this procedure. [ABSTRACT FROM AUTHOR]

Background The folate receptor alpha is selectively over-expressed in a number of human cancers. BMS-753493 is a folate conjugate of the epothilone analog BMS-748285 that was designed to selectively target folate receptor expressing cancer cells. Methods BMS-753493 was investigated in two parallel multi-institutional first-in-human phase I/IIa studies in patients with advanced solid tumors. In Study 1, patients were treated on a schedule of once daily dosing of BMS-753493 administered on Days 1, 4, 8 and 11 every 21 days with a starting dose of 5 mg daily and in Study 2, patients were treated once daily on Days 1-4 every 21 days, with a starting dose of 2.5 mg daily. Results A total of 65 patients were treated across the two studies. The maximum tolerated dose (MTD) was 26 mg in Study 1 and 15 mg in Study 2. Fatigue, transaminitis, gastrointestinal toxicity, and mucositis were dose-limiting toxicities. One patient in Study 2 developed Stevens-Johnson syndrome attributed to BMS-753493. Plasma exposures of both the conjugated and free epothilone increased in a dose related fashion in both studies and the half-life of the conjugated epothilone was 0.2-0.6 h across dose levels. No objective tumor responses were seen in either study. Conclusions BMS-753493 was generally tolerable and toxicities known to be associated with epothilone class of anticancer agents were common, although peripheral neuropathy and neutropenia appear to have been less frequent and less severe as compared to epothilones. Antitumor activity was not demonstrated and further development of BMS-753493 has been discontinued. [ABSTRACT FROM AUTHOR]

The capability of determining the flow-by-flow stratigraphy and the long-distance correlation of lava flows in large continental volcanic provinces leads to a considerable advance in the understanding of processes related to generation and evolution of the lavas. The Paraná volcanic province is exposed along the Serra Geral cuesta of southern Brazil in a steeply inclined, 1,000-m-high section starting 40-m above sea level. Each of the 10-20 pahoehoe flows and rhyodacite flow units has a unique chemical composition. Integrated with field stratigraphy and gamma-spectrometric measurements, this leads to the establishment of the correct stratigraphic sequence in each of three different vertical sections. The number of flows integrating the three serras is 26 ('serra' is a mountain range in Portuguese). Each serra has basaltic andesites at the base, whereas rhyodacites are intercalated with basaltic andesites at the top. Three basaltic andesite flows and one rhyodacite flow unit are correlated between Serra Umbu and Serra Boa Vista (10 km). In the Serra Faxinal, a thick (170 m) sill at the base correlates with flow 13F, whereas a dike-sill in the Graxaim quarry (24 km distance) correlates with flow 3F. One basaltic andesite and two rhyodacite flow units correlate between Serra Faxinal and Serra Umbu (50 km). The results are most significant for the understanding of large tracts of continental volcanic provinces with use of common geochemical and gamma-spectrometric techniques. [ABSTRACT FROM AUTHOR]

Hydrogels based on nanocomposites of statistical poly(hydroxyethyl acrylate- co-ethyl acrylate) and silica, prepared by simultaneous copolymerization and generation of silica nanoparticles by sol-gel process at various copolymer compositions and silica contents, characterized by a fine dispersion of filler, were investigated with respect to glass transition and polymer dynamics by dielectric techniques. These include thermally stimulated depolarization currents and dielectric relaxation spectroscopy, covering together broad ranges of frequency and temperature. In addition, equilibrium water sorption isotherms were recorded at room temperature (25 °C). Special attention was paid to the investigation of effects of silica on glass transition, polymer dynamics (secondary γ and β relaxations and segmental α relaxation), and electrical conductivity in the dry systems (xerogels) and in the hydrogels at various levels of relative humidity/water content. An overall reduction of molecular mobility is observed in the nanocomposite xerogels, in particular at high silica contents. Analysis of the results and comparison with previous work on similar systems enable to discuss this reduction of molecular mobility in terms of constraints to polymeric motion imposed by interfacial polymer-filler interactions and by the formation of a continuous silica network interpenetrated with the polymer network at filler contents higher than about 15 wt%. [ABSTRACT FROM AUTHOR]

In this article, we study the Reidemeister torsion and the analytic torsion of the m dimensional disc, with the Ray and Singer homology basis (Adv Math 7:145-210, ). We prove that the Reidemeister torsion coincides with a power of the volume of the disc. We study the additional terms arising in the analytic torsion due to the boundary, using generalizations of the Cheeger-Müller theorem. We use a formula proved by Brüning and Ma (GAFA 16:767-873, ) that predicts a new anomaly boundary term beside the known term proportional to the Euler characteristic of the boundary (Lück, J Diff Geom 37:263-322, ). Some of our results extend to the case of the cone over a sphere, in particular we evaluate directly the analytic torsion for a cone over the circle and over the two sphere. We compare the results obtained in the low dimensional cases. We also consider a different formula for the boundary term given by Dai and Fang (Asian J Math 4:695-714, ), and we compare the results. The results of these work were announced in the study of Hartmann et al. (BUMI 2:529-533, ). [ABSTRACT FROM AUTHOR]

A catalogue of molecular aberrations that cause ovarian cancer is critical for developing and deploying therapies that will improve patients' lives. The Cancer Genome Atlas project has analysed messenger RNA expression, microRNA expression, promoter methylation and DNA copy number in 489 high-grade serous ovarian adenocarcinomas and the DNA sequences of exons from coding genes in 316 of these tumours. Here we report that high-grade serous ovarian cancer is characterized by TP53 mutations in almost all tumours (96%); low prevalence but statistically recurrent somatic mutations in nine further genes including NF1, BRCA1, BRCA2, RB1 and CDK12; 113 significant focal DNA copy number aberrations; and promoter methylation events involving 168 genes. Analyses delineated four ovarian cancer transcriptional subtypes, three microRNA subtypes, four promoter methylation subtypes and a transcriptional signature associated with survival duration, and shed new light on the impact that tumours with BRCA1/2 (BRCA1 or BRCA2) and CCNE1 aberrations have on survival. Pathway analyses suggested that homologous recombination is defective in about half of the tumours analysed, and that NOTCH and FOXM1 signalling are involved in serous ovarian cancer pathophysiology. [ABSTRACT FROM AUTHOR]

The Neoproterozoic-Eoplalaeozoic Brasiliano orogeny at the eastern margin of the Rio de la Plata craton in southernmost Brazil and Uruguay comprises a complex tectonic history over 300 million years. The southern Brazilian Shield consists of a number of tectono-stratigraphic units and terranes. The São Gabriel block in the west is characterized by c.760-690 Ma supracrustal rocks and calc-alkaline orthogneisses including relics of older, c. 880 Ma old igneous rocks. Both igneous and metasedimentary rocks have positive ε Nd(t) values and Neoproterozoic TDM model ages; they formed in magmatic arc settings with only minor input of older crustal sources. A trondhjemite from the São Gabriel block intruding dioritc and tonalitic gneisses during the late stages of deformation (D) yield an U-Pb zircon age (LA-ICP-MS) of 701 ± 10 Ma giving the approximate minimum age of the São Gabriel accretionary event. The Encantadas block further east, containing the supracrustal Porongos belt and the Pelotas batholith, is in contrast characterized by reworking of Neoarchean to Palaeoproterozoic crust. The 789 ± 7 Ma zircon age of a metarhyolite intercalated with the metasedimentary succession of the Porongos belt provides a time marker for the basin formation. Zircons of a sample from tonalitic gneisses, constituting the Palaeoproterozoic basement of the Porongos belt, form a cluster at 2,234 ± 28 Ma, interpreted as the tonalite crystallization age. Zircon rims show ages of 2,100-2,000 Ma interpreted as related to a Palaeoproterozoic metamorphic event. The Porongos basin formed on thinned continental crust in an extensional or transtensional regime between c. 800-700 Ma. The absence of input from Neoproterozoic juvenile sources into the Porongos basin strongly indicates that the Encantadas and São Gabriel blocks were separated terranes that became juxtaposed next to each other during the Brasiliano accretional events. The tectonic evolution comprises two episodes of magmatic arc accretion to the eastern margin of the Rio de la Plata craton, (i) accretion of an intra-oceanic arc at c. 880 Ma (Passinho event) and (ii) accretion of the 760-700 Ma Cambaí/Vila Nova magmatic arc (São Gabriel event). The latter event also includes the collision of the Encantadas block with the Rio de la Plata craton to the west. Collision and crustal thickening was followed by sinistral shear along SW-NE-trending orogen-parallel crustal-scale shear zones that can be traced from southern Brazil to Uruguay and have been active between 660 and 590 Ma. Voluminous granitic magmatism in the Pelotas batholith spatially related to shear zones is interpreted as late- to post-orogenic magmatism, possibly assisted by lithospheric delamination. It marks the transition to the post-orogenic molasse stage. Localized deformation by reactivation of preexisting shear zones continued until c. 530 Ma and can be assigned to final stages of the amalgamation of West Gondwana. [ABSTRACT FROM AUTHOR]

We designed a phase I clinical trial of escalating doses of topotecan with CY and carboplatin in combination with autologous hematopoietic SCT (AHSCT) for the treatment of relapsed or persistent platinum sensitive ovarian or primary peritoneal carcinoma. After stem cell collection, 16 patients received topotecan at 1.5, 2.5, 3.5, 4.5 or 6.0 mg/m2/d combined with CY 1.5 g/m2/d and carboplatin 200 mg/m2/d, all by 4-day continuous infusion. Steady state pharmacokinetics of topotecan and carboplatin were examined. Pre-treatment biopsies were examined for the expression of topoisomerase (topo) I, Ki67 and Bcl-2 family members by immunohistochemistry. One of six patients at a topotecan dose of 4.5 mg/m2/d and two of three patients at 6.0 mg/m2/d had dose-limiting toxicity of grade 3 stomatitis lasting >2 weeks. There was no treatment-related mortality. As topotecan clearance was constant over the dose range examined, topotecan steady state plasma concentrations increased with dose. Median progression-free survival and overall survival were 6.5 months and 2.7 years, respectively. Shorter progression-free survival was observed in tumors with low topo expression (P=0.04). Topotecan can safely be dose escalated to 4.5 mg/m2/d in combination with CY, carboplatin and AHSCT. This trial is registered at ClinicalTrials.gov as NCT00652691. [ABSTRACT FROM AUTHOR]

There is evidence that progesterone plays a role in the aetiology of invasive epithelial ovarian cancer. Therefore, genes involved in pathways that regulate progesterone may be candidates for susceptibility to this disease. Previous studies have suggested that genetic variants in the progesterone receptor gene (PGR) may be associated with ovarian cancer risk, although results have been inconsistent. We have established an international consortium to pool resources and data from many ovarian cancer case-control studies in an effort to identify variants that influence risk. In this study, three PGR single nucleotide polymorphisms (SNPs), for which previous data have suggested they affect ovarian cancer risk, were examined. These were +331 C/T (rs10895068), PROGINS (rs1042838), and a 3' variant (rs608995). A total of 4788 ovarian cancer cases and 7614 controls from 12 case-control studies were included in this analysis. Unconditional logistic regression was used to model the association between each SNP and ovarian cancer risk and two-sided P-values are reported. Overall, risk of ovarian cancer was not associated with any of the three variants studied. However, in histopathological subtype analyses, we found a statistically significant association between risk of endometrioid ovarian cancer and the PROGINS allele (n=651, OR=1.17, 95% CI=1.01-1.36, P=0.036). We also observed borderline evidence of an association between risk of endometrioid ovarian cancer and the +331C/T variant (n=725 cases; OR=0.80, 95% CI 0.62-1.04, P=0.100). These data suggest that while these three variants in the PGR are not associated with ovarian cancer overall, the PROGINS variant may play a modest role in risk of endometrioid ovarian cancer. [ABSTRACT FROM AUTHOR]

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Broadband Dielectric Spectroscopy is employed to study the molecular dynamics in thin layers of grafted and spin-coated polydimethylsiloxane (PDMS) and of the type-A polymer cis-1,4-polyisoprene (PI). Strong resemblance with low-molecular-weight systems is found but additionally the conformation of the chain and its extension becomes important. For PI a confinement-induced relaxation is found. It is observable if the layer thickness is comparable to the end-to-end vector of the chain and it depends strongly on the separation between interfaces. In contrast, the dynamic (and hence the calorimetric) glass transition is not affected by the geometrical confinement. [ABSTRACT FROM AUTHOR]

The molecular dynamics in thin films (18 nm-137 nm) of isotactic poly(methyl methacrylate) (i-PMMA) of two molecular weights embedded between aluminium electrodes are measured by means of dielectric spectroscopy in the frequency range from 50 mHz to 10 MHz at temperatures between 273 K and 392 K. The observed dynamics is characterized by two relaxation processes: the dynamic glass transition (α-relaxation) and a (local) secondary β-relaxation. While the latter does not depend on the dimensions of the sample, the dynamic glass transition becomes faster (≤2 decades) with decreasing film thickness. This results in a shift of the glass transition temperature Tg to lower values compared to the bulk. With decreasing film thickness a broadening of the relaxation time distribution and a decrease of the dielectric strength is observed for the α-relaxation. This enables to deduce a model based on immobilized boundary layers and on a region displaying a dynamics faster than in the bulk. Additionally, Tg was determined by temperature-dependent ellipsometric measurements of the thickness of films prepared on silica. These measurements yield a gradual increase of Tg with decreasing film thickness. The findings concerning the different thickness dependences of Tg are explained by changes of the interaction between the polymer and the substrates. A quantitative analysis of the Tg shifts incorporates recently developed models to describe the glass transition in thin polymer films. [ABSTRACT FROM AUTHOR]

An analysis of cell membrane material present in circulating immune complexes isolated from normal human sera by precipitation with polyethylene glycol (PEG) has been performed with the platelet alloantigen Pl and rhesus antigen used as markers. PEG precipitates obtained from the sera of subjects of known Pl and rhesus phenotype were resuspended in buffer and analyzed as representative of circulating immune complexes (CIC). The consumption of anti-Pl serum by CIC was determined by immunofluorescence and by inhibition of sodium chromate release from Pl-positive target platelets. With these two techniques, Pl alloantigen activity was detected in CIC. This finding suggests that at least some of the cell membrane material present in CIC is derived from platelets. [ABSTRACT FROM AUTHOR]

Circulating immune complexes (CIC) were detected by means of the polyethylen glycol (PEG) precipitation method, in the serum of untreated patients with hematologic diseases including acute myeloid leukemia (AML), acute lymphatic leukemia (ALL) and hematosarcoma (HS). Immunoglobulins (Ig) and the Cfraction of complement were quantitated in the precipitate dissociated by potassium cyanate (KCNO) and in the serum. When compared to control sera, the results showed a simultaneous increase of both precipitate and Ig component. The proportion of each Ig in the precipitate was stable for the controls but variable for the patients. On the whole precipitated proteins, 30% were systematically quantitated in patients and controls. In the remaining portion were noticed Clq and C fractions of complement as well as haptoglobin and albumin. The nature of the antigen was discussed. [ABSTRACT FROM AUTHOR]

Polyethylene glycol precipitation (PEG) is a technique commonly used for the dosage of circulating immune complexes (CIC). Ultrastructural analysis of these precipitates shows vesicles, lamellar fragments with cell membrane structure and lipid-like inclusions on a proteinaceous background. These morphologically characterized elements are noticed both in normal individuals and in hemopathic patients (acute lymphoid or myeloid leukemia, hematosarcoma). Their number is higher in the patients, however, and the cholesterol/protein ratio is significantly elevated in pathological precipitates. In the present state of our observations it is premature to tell whether they are precipitated with CIC or represent the real antigens. [ABSTRACT FROM AUTHOR]

Winds are directly detected from solar-type stars only when they are very young. At ages ∼ 10 yr, these stars have mass loss rates ∼ 10 times the mass flux of the present solar wind. Although these young T Tauri stars exhibit ultraviolet transition-region and X-ray coronal emission, the large particle densities of the massive winds lead to efficient radiative cooling, and wind temperatures are only ∼ 10 K. In these circumstances thermal acceleration is unlikely to play an important role in driving the mass loss. Turbulent energy fluxes may be responsible for the observed mass loss, particularly if substantial magnetic fields are present. The presence of stellar mass loss is indirectly shown by the spindown of low-mass stars as they age. It appears that many solar-mass stars spin up as they contract toward the Main-Sequence, reaching a maximum equatorial velocity of 50 to 100 km s. These stars spin down rapidly upon reaching the Main Sequence. Spindown may be enhanced by a decoupling or lag between convective envelope and radiative core. Because this spindown occurs fairly early in a solar-type star's history, the internal structure of old stars like the Sun may not depend upon initial conditions. [ABSTRACT FROM AUTHOR]

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Copyright of Archives of Gynecology & Obstetrics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Examines new indications of the importance of spatially-resolved observations of stellar winds in elucidating the mechanisms of mass ejection. `Wolf-Rayet' star; Features.