Epigenetic and metabolic regulation of epidermal homeostasis

xlomafota13 shared this article with you from Inoreader Epigenetic and metabolic regulation of epidermal homeostasis Via Experimental Dermatology Abstract Continuous exposure of the skin to environmental, mechanical, and chemical stress necessitates constant self‐renewal of the epidermis to maintain its barrier function. This self‐renewal ability is attributed to epidermal stem cells (EPSCs), which are long‐lived, multipotent cells located in the basal layer of the epidermis. Epidermal homeostasis – coordinated proliferation and differentiation of EPSCs – relies on fine‐tuned adaptations in gene expression which in turn are tightly associated with specific epigenetic signatures and metabolic requirements. In this review, we will briefly summarize basic concepts of EPSC biology and epigenetic regulation with relevance to epidermal homeostasis. We will highlight the intricate interplay between mitochondrial energy metabolism and epigenetic events – including miRNA‐mediated mechanisms – and discuss how the loss of epigenetic regulation and epidermal homeostasis manifests in skin disease. Discussion of inherited epider molysis bullosa (EB) and disorders of cornification will focus on evidence for epigenetic deregulation and failure in epidermal homeostasis, including stem cell exhaustion and signs of premature aging. We reason that the epigenetic and metabolic component of epidermal homeostasis is significant and warrants close attention. Charting epigenetic and metabolic complexities also represents an important step in the development of future systemic interventions aimed at restoring epidermal homeostasis and ameliorating disease burden in severe skin conditions. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Histopathological study on neuroapoptotic alterations induced by etomidate in rat hippocampus.

xlomafota13 shared this article with you from Inoreader Histopathological study on neuroapoptotic alterations induced by etomidate in rat hippocampus. Via histochem Related Articles Histopathological study on neuroapoptotic alterations induced by etomidate in rat hippocampus. Acta Histochem. 2021 Feb 16;123(3):151693 Authors: Alipour M, Asl MK, Khordad E, Alipour F, Raoofi A, Ebrahimzadeh-Bideskan A, Ebrahimi V Abstract In human, there is substantial neurogenesis in the hippocampus that is implicated in memory formation and learning. These new-born neurons can be affected by neuropathological conditions. Anesthesia and surgical procedures are associated with postoperative cognitive changes particularly, impaired memory and learning. Therefore, the aim of this study was to evaluate the possible neurodegenerative effects of etomidate in rat hippocampus. Thirty male Wistar rats weighing 250 ± 30 g were randomly divided into 3 groups: 1) Etomidate group; four times 20 mg intraperitoneal injection with 1-h intervals, 2) Control group; the equal volume of normal saline, and 3) Normal group; without any intervention. 6 h after the last injection, the brains were removed and processed according to routine histological methods. TUNEL assay and toluidine blue staining were performed to evaluate neuro-histopathological changes in different regions of hippocampus. Our results showed that the number of TUNEL positive cells and dark neurons (DNs) in etomidate group were significantly higher in the CA1, CA2, CA3, and dentate gyrus (DG) of hippocampus compared with the control and normal groups (p < 0.05). While, there was no significant difference between the various regions of hippocampus in control and normal groups. Our findings showed that etomidate can increase apoptotic cells and dark neurons induction in different regions of hippocampus mainly in DG. PMID: 33601320 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Neuroendocrine neoplasms of the middle ear: Unpredictable tumor behavior and tendency for recurrence

xlomafota13 shared this article with you from Inoreader Neuroendocrine neoplasms of the middle ear: Unpredictable tumor behavior and tendency for recurrence Via Head & Neck Abstract Background Middle ear adenomatous neuroendocrine tumors (MEANTs) are rare temporal bone tumors. This study evaluates its clinical behavior and therapy outcome. Method Retrospective case review in a tertiary referral center evaluating histopathology, immunohistochemistry, treatment, and outcome. Results Nine patients were diagnosed with MEANT. One patient presented with locally invasive tumor and underwent extensive en‐bloc tumor resection with adjuvant radiotherapy. Seven of eight patients with locally non‐aggressive tumor confined to the tympanomastoid space underwent tumor resection. Two patients were disease‐free, five presented recurrence, even after apparent successful surgery. All tumors showed neuroendocrine features. Histopathology and immunohistochemistry did not yield prognostic tumor characteristics. Conclusion MEANTs are rare tumors with uncertain biological behavior and subsequent unpredictable clinical course. The preferred treatment is complete surgical tumor resection. They have a high tendency for recurrence, irrespective of negative intermediary surgery. As of yet, there are no prognostic biomarkers, including histopathology and immunohistochemistry. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Nomograms for predicting survival outcomes in intensity‐modulated radiotherapy era of nasopharyngeal carcinoma: A study based on Epstein–Barr virus DNA biological responses

xlomafota13 shared this article with you from Inoreader Nomograms for predicting survival outcomes in intensity‐modulated radiotherapy era of nasopharyngeal carcinoma: A study based on Epstein–Barr virus DNA biological responses Via Head & Neck Abstract Background Treatment of nasopharyngeal carcinoma (NPC) is evolving toward Intensity‐modulated radiotherapy (IMRT) era, which requires patient‐specific reestimation of survival outcomes in modern health care. Methods A total of 488 detectable pre‐treatment Epstein–Barr virus (EBV) DNA patients (stage II‐IVa) treated with induction chemotherapy (IC) and IMRT were examined (training set, n = 325; validation set, n = 163). Results Concurrent chemotherapy (CC) was still an independent prognosticator for overall survival (OS) and progression‐free survival (PFS). Both nomograms included age, T classification, N classification, post‐IC EBV DNA, and CC. Predictions correlated well with observed 3‐/5‐year OS and PFS. The concordance index was 0.776 (95% confidence interval (CI) 0.69–0.86) for OS and 0.742 (95% CI 0.65–0.83) for PFS in the validation cohort. The nomograms can successfully classify patients into low‐ and high‐risk groups. Conclusion The validated nomograms provided useful prediction of OS and PFS for detectable pre‐treatment EBV DNA patients with NPC in IMRT era. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Outcomes and prognostic factors of major salivary gland tumors treated with proton beam radiation therapy

xlomafota13 shared this article with you from Inoreader Outcomes and prognostic factors of major salivary gland tumors treated with proton beam radiation therapy Via Head & Neck Abstract Background Proton beam radiation therapy (PBRT) has dosimetric advantages compared to photon radiation therapy for the treatment of major salivary gland tumors (MSGTs). Methods Patients with non‐metastatic MSGTs treated at a single proton therapy center from October 2013 to October 2018 were retrospectively reviewed. Results Sixty‐eight patients with MSGTs were included and the most common site and histology were the parotid gland (75.0%) and adenoid cystic carcinoma (22.1%), respectively. The 3‐year rates of locoregional control, progression‐free survival, and overall survival were 95.1% (95% CI: 89.9%‐100.0%), 80.7% (70.2%‐92.7%), and 96.1% (95% CI: 90.9%‐100.0%), respectively. Conclusion In a large cohort of MSGTs treated with PBRT, the rates of locoregional control were high in short‐term follow‐up and treatment was well tolerated. View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Theoretical Screening and Experimental Synthesis of Ultrahigh-Iodine Capture Covalent Organic Frameworks.

xlomafota13 shared this article with you from Inoreader Theoretical Screening and Experimental Synthesis of Ultrahigh-Iodine Capture Covalent Organic Frameworks. Via radioactive iodine Related Articles Theoretical Screening and Experimental Synthesis of Ultrahigh-Iodine Capture Covalent Organic Frameworks. ACS Appl Mater Interfaces. 2021 Feb 18;: Authors: Song S, Shi Y, Liu N, Liu F Abstract Radioactive materials of nuclear waste would be hazardous to human health such as the reproductive and metabolic system. How to design a radioactive material adsorbent quickly and efficiently is still a great challenge. In this study, a strategy for the efficient design of a high-potential radioactive iodine uptake adsorbent by theoretical screening is proposed. The following experiments which use covalent organic frameworks (COFs) as demonstration have great agreement with the theoretical screening prediction. Three screened COFs show ultrahigh iodine adsorption, which reaches up to 6.4 g/g (640% in mass) in vapor and 99.9 mg/g in solution, owing to the pore size and the functional groups in COFs. PMID: 33599122 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

[Radiological incident: public health countermeasures].

xlomafota13 shared this article with you from Inoreader [Radiological incident: public health countermeasures]. Via radioactive iodine Related Articles [Radiological incident: public health countermeasures]. G Ital Med Lav Ergon. 2020 Dec;42(4):272-276 Authors: De Luca G Abstract SUMMARY: Several measures in a response to a nuclear or radiological emergency have in common the aim of protecting human life and health, among these: to save lives; to avoid or to minimize severe deterministic effects; to provide fist aid, critical medical treatment and to manage the treatment of radiation injuries; to reduce the risk of stochastic effects. In the phase of the urgent response (the first hours or few days from the declaration of the emergency) mitigatory actions have to be taken by the operating personnel of a nuclear facility to prevent the escalation of the emergency and mitigate the consequences of radioactive releases and exposure; along with these, urgent protective actions have to be implemented. Examples of urgent protective actions are: sheltering, evacuation of people residing near the plant and iodine thyroid blocking (ITB): these actions can be also precautionary if taken before or immediately after the beginning of the radioactive release. In the second phase of the emergency (the early response phase) which can last days or weeks, early protective actions, like relocation, restrictions on the food chain and on water supply etc., should be taken. The mitigatory and protective actions should be part of a general protective strategy of the population, based on generic criteria and generic guidance values for restricting exposure of the emergency workers and of the general population. PMID: 33600654 [PubMed - in process] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Basivertebral foramina of true vertebrae: morphometry, topography and clinical considerations.

xlomafota13 shared this article with you from Inoreader Basivertebral foramina of true vertebrae: morphometry, topography and clinical considerations. Via radiol anat Related Articles Basivertebral foramina of true vertebrae: morphometry, topography and clinical considerations. Surg Radiol Anat. 2021 Feb 17;: Authors: Tzika M, Paraskevas GK, Piagkou M, Papatolios AK, Natsis K Abstract PURPOSE: Basivertebral foramina (BVF) are openings of the posterior wall of vertebral body (VB) that lead to basivertebral canals (BVC), where homonymous neurovascular bundle courses. BVF and BVC are implicated with spinal fractures, vertebral augmentation and basivertebral nerve radiofrequency ablation. Despite their essential clinical impact, knowledge of BVF precise anatomy is scarce. The current study describes in detail the BVF typical morphological and topographical anatomy, morphometry and variants. METHODS: In total, 1561 dried true vertebrae of 70 Greek spines of known gender and age were examined. BVF number, location, shape and size (in foramina > 1 mm), BVF distance from VB rims and pedicles, as well as VB morphometry (diameters, heights and distance between pedicles) were studied. Ten spines were re-examined by computed tomography and BVC depth and shape were recorded. Correlations and differences were statistically analyzed. RESULTS: C1 lack BVF (3.4%). One BVF was found in 45.1%, two in 36.9%, three in 3.8% and four BVF in 0.6%. Multiple small (< 1 mm) foramina were observed in 10.1%. Asymmetry was detected in 12.3%. C2 and T10-L1 presented typical pattern, whereas C3 and T2 had the greatest variability. BVF were significantly closer to the upper rim in C2 and T10-L4 and to the lower rim in C7-T4, T6-T8 and L5. The mean BVC depth was 12-21.8% of the VB anteroposterior diameter. CONCLUSION: BVF number, shape, size and topography are described, in detail, per vertebral level. The provided morphological classification and the created cumulative BVF topographic graphs should assist in clinical practice and surgery. PMID: 33598754 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool.

xlomafota13 shared this article with you from Inoreader Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool. Via http://link.springer.com/journal/405,European archives of oto-rhino-laryngology,The European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino Related Articles Assessing competence in cochlear implant surgery using the newly developed Cochlear Implant Surgery Assessment Tool. Eur Arch Otorhinolaryngol. 2021 Feb 19;: Authors: Frendø M, Frithioff A, Konge L, Foghsgaard S, Mikkelsen PT, Sørensen MS, Cayé-Thomasen P, Andersen SAW Abstract PURPOSE: To develop and gather validity evidence for a novel tool for assessment of cochlear implant (CI) surgery, including virtual reality CI surgery training. METHODS: Prospective study gathering validity evidence according to Messick's framework. Four experts developed the CI Surgery Assessment Tool (CISAT). A total of 35 true novices (medical students), trained novices (residents) and CI surgeons performed two CI-procedures each in the Visible Ear Simulator, which were rated by three blinded experts. Classical test theory and generalizability theory were used for reliability analysis. RESULTS: The CISAT significantly discriminated between the three groups (p < 0.001). The generalizability coefficient was 0.76 and most of the score variance (53.3%) was attributable to the participant and only 6.8% to the raters. When exploring a standard setting for CI surgery, the contrasting groups method suggested a pass/fail score of 36.0 points (out of 55), but since the trained novices performed above this, we propose using the mean CI surgeon performance score (45.3 points). CONCLUSION: Validity evidence for simulation-based assessment of CI performance supports the CISAT. Together with the standard setting, the CISAT might be used to monitor progress in competency-based training of CI surgery and to determine when the trainee can advance to further training. PMID: 33604749 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

High-definition videolaryngoscopy is superior to fiberoptic laryngoscopy: a 111 multi-observer study.

xlomafota13 shared this article with you from Inoreader High-definition videolaryngoscopy is superior to fiberoptic laryngoscopy: a 111 multi-observer study. Via http://link.springer.com/journal/405,European archives of oto-rhino-laryngology,The European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino Related Articles High-definition videolaryngoscopy is superior to fiberoptic laryngoscopy: a 111 multi-observer study. Eur Arch Otorhinolaryngol. 2021 Feb 19;: Authors: Scholman C, Westra JM, Zwakenberg MA, Dikkers FG, Halmos GB, Wedman J, Wachters JE, van der Laan BFAM, Plaat BEC Abstract PURPOSE: This study aims to analyse differences in fiberoptic laryngoscopy (FOL) versus high definition laryngoscopy (HDL) by examining videolaryngoscopy images by a large group of observers with different levels of clinical expertise in ear, nose and throat (ENT) medicine. METHODS: This study is a 111 observer paired analysis of laryngoscopy videos during an interactive presentation. During a National Meeting of the Dutch Society of ENT/Head and Neck Surgery, observers assessed both FOL and HDL videos of nine cases with additional clinical information. Observers included 41 ENT consultants (36.9%), 34 ENT residents (30.6%), 22 researchers with Head and Neck interest (19.8%) and 14 with unspecified clinical expertise (12.6%). For both laryngoscopic techniques, sensitivity, specificity, positive and negative predictive value and diagnostic accuracy were determined for identifying a normal glottis, hyperkeratosis, radiotherapy adverse effects and squamous cell carcinoma. The sensitivities for FOL and HDL were analysed with regard to the different levels of clinical expertise. RESULTS: The overall sensitivity for correctly identifying the specific histological entity was higher in HDL (FOL 61% vs HDL 66.3%, p < 0.05). HDL was superior to FOL in identifying a normal glottis (FOL 68.1% vs HDL 91.6%, p < 0.01) and squamous cell carcinoma (FOL 70.86% vs HDL 79.41%, p = 0.02). Residents and researchers with Head and Neck interest diagnosed laryngeal lesions more correctly with HDL (p < 0.05). CONCLUSIONS: In a large population of observers with different levels of clinical expertise, HDL is superior to FOL in identifying laryngeal lesions. PMID: 33606082 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.

Validation study of a novel approach for assessment of retronasal olfactory function with combination of odor thresholds and identification.

xlomafota13 shared this article with you from Inoreader Validation study of a novel approach for assessment of retronasal olfactory function with combination of odor thresholds and identification. Via http://link.springer.com/journal/405,European archives of oto-rhino-laryngology,The European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino Related Articles Validation study of a novel approach for assessment of retronasal olfactory function with combination of odor thresholds and identification. Eur Arch Otorhinolaryngol. 2021 Feb 19;: Authors: Yoshino A, Pellegrino R, Luckett CR, Hummel T Abstract PURPOSE: The present study aimed to establish a test battery for the clinical assessment of retronasal odor thresholds and retronasal odor identification. STUDY DESIGN: Prospective case-control series. METHODS: Sixty participants (36 women, 24 men, mean age 37.6 ± 19.4 years) were enrolled in this study; 36 were healthy controls and 24 were patients with olfactory dysfunction. Orthonasal olfactory function was assessed with the "Sniffin' Sticks" test battery. Retronasal olfaction was assessed with oral odorant delivery using special containers for threshold function, and with oral tasteless powders for odor identification. RESULTS: Retronasal and orthonasal olfaction were significantly correlated for threshold scores, identification score, and the sum of threshold and identification score (TI score). Validity analyses showed that the retronasal TI score was able to discriminate between healthy controls and patients with olfactory dysfunction. CONCLUSIONS: Normosmic participants can be distinctly differentiated from patients with olfactory dysfunction using a valid test battery comprised of retronasal threshold and identification tests. Based on the current findings, we advocate a TI score of 16 as a cut-off between patients and controls. Therefore, TI scores of 17 and above would indicate retronasal normosmia. PMID: 33606083 [PubMed - as supplied by publisher] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.