SPONTANEOUS AMYLOIDOSIS IN DIFFERENTLY GROUPED AND TREATED DBA/2, BALB/c, AND CBA MICE AND THYMUS FIBROSIS IN ESTROGEN-TREATED BALB/c MALES

Sex-segregated grouping of DBA/2, BALB/c, and CBA males caused rapid amyloid development and early death as compared with segregated grouped females or with males living individually in cages with several females. Grouping of several males in a cage with females also caused early death in amyloidosis indicating that the exposure of males to males and not the sexual isolation was important for the amyloid development. Both reserpine treatment and castration prolonged the survival time of sex-segregated grouped males. Estrogen treatment retarded amyloid development in sex-segregated males while spayed and androgen-treated spayed females showed only small amounts of amyloid. Treatment with chlortetracycline did not prevent amyloid development in grouped males. Thymectomy of sex-segregated males at 1 month of age gave inconclusive evidence of a prolongation of survival time. Egg-transferred DBA/2 mice reacted as conventional DBA/2 mice when grouped by sex segregation. Cells with abundant PAS-positive cytoplasm were found in the spleen, liver, and ovaries of mice of all strains but most prominently in CBA mice. Evidence for a direct conversion of these cells to amyloid was found. Estrogen-treated BALB/c males developed testicular tumors and thymus alterations including necrosis and depletion of lymphocytes, depletion of PAS cells, formation of large cysts containing necrotic nuclei, and intralobular fibrosis.

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Survival time among patients who were diagnosed with tuberculosis, the precocious deaths and associated factors in southern Brazil

Tropical Medicine and Health ◽

10.1186/s41182-021-00320-4 ◽

2021 ◽

Vol 49 (1) ◽

Author(s):

Danielle Talita dos Santos ◽

Luiz Henrique Arroyo ◽

Yan Mathias Alves ◽

Luana Seles Alves ◽

Thais Zamboni Berra ◽

...

Keyword(s):

Survival Analysis ◽

Survival Time ◽

Associated Factors ◽

Early Death ◽

Southern Brazil ◽

Mixed Effect ◽

Kaplan Meier ◽

Starting Point ◽

Cox's Regression ◽

And Gender

Abstract Background A diagnosis of tuberculosis (TB) does not mean that the disease will be treated successfully, since death may occur even among those who are known to the health services. Here, we aimed to analyze patient survival time from the diagnosis of TB to death, precocious deaths, and associated factors in southern Brazil. Methods We conducted a longitudinal study with patients who were diagnosed with TB and who died due to the disease between 2008 and 2015 in southern Brazil. The starting point for measuring survival time was the patient’s diagnosis date. Techniques for survival analysis were employed, including the Kaplan-Meier test and Cox’s regression. A mixed-effect model was applied for identifying the associated factors to precocious deaths. Hazard ratio (HR) and odds ratio (OR) with 95% confidence intervals (95% CI) were estimated. We defined p value <0.05 as statistically significant for all statistics applied. Results One hundred forty-six patients were included in the survival analysis, observing a median survival time of 23.5 days. We observed that alcoholism (HR=1.55, 95% CI=1.04-2.30) and being male (HR=6.49, 95% CI=1.03-2.68) were associated with death. The chance of precocious death within 60 days was 10.48 times greater than the chance of early death within 30 days. Conclusion Most of the deaths occurred within 2 months after the diagnosis, during the intensive phase of the treatment. The use of alcohol and gender were associated with death, revealing inequality between men and women. This study advanced knowledge regarding the vulnerability associated with mortality. These findings must be addressed to fill a gap in the care cascades for active TB and ensure equity in health.

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Paclitaxel, carboplatin, and etoposide (TCE) in advanced poorly differentiated neuroendocrine carcinoma.

Journal of Clinical Oncology ◽

10.1200/jco.2013.31.15_suppl.e15096 ◽

2013 ◽

Vol 31 (15_suppl) ◽

pp. e15096-e15096

Author(s):

Luisa Mantovani Loeffler ◽

Elias Mauersberger ◽

Arved Weimann ◽

Dorit Kuerschner ◽

Christoph Schimmelpfennig ◽

...

Keyword(s):

Survival Time ◽

Neuroendocrine Carcinoma ◽

Early Death ◽

Progression Free Survival ◽

Cancer Center ◽

Maximal Response ◽

Tumor Control ◽

Poorly Differentiated Neuroendocrine Carcinoma ◽

Poorly Differentiated ◽

Histological Confirmation

e15096 Background: Only limited data are available on treatment outcomes in poorly differentiated neuroendocrine carcinomas. We evaluated retrospectively a complete series of consecutive patients with poorly differentiated neuroendocrine carcinoma treated with a regimen containing TCE in a single center. Methods: 50 new consecutively diagnosed patients were treated between 01/2000 and 04/2012 at St. Georg Hospital Cancer Center Leipzig. Dosing: paclitaxel (175-200mg/m² d1), carboplatin (AUC 6 d1) and etoposide (50/100mg d1-10) q3w (Hainsworth et al. JCO 2006, 22, 3548-3554). In cases of response after three cycles patients have been treated until progression or toxicities. Patient initial characteristics: age 61 years (range 23-85); 34 male, 16 female; 8/50 limited disease, 29/50 liver metastases, 13/50 only extra hepatic metastasis; 12/50 hormon active tumors. Histological confirmation, immunhistochemical staining (synaptophysin, chromogranin A) and proliferationsrate were performed in all cases. Resection of primary tumor was performed in 20/50 pts. Median no. of cycles was 4 (range 1-12 courses). CT-Scans of all patients were reviewed according to RECIST to detect maximal response. Results: 7/50 (14%) had CR, 20/50 PR (with a median reduction of the sum of diameters to 49%); 12/50 (24%) had no change; 7/50 PD (14%); 4/50 (8%) were not evaluable for response because of early death (3 sepsis, 1 liver failure). Median progression free survival time was 4.0 months (95% CI 2.9-5.1). The median overall survival time was 14,8 months (95% CI 9,5 -20,3). Major toxicity was myelosuppression. As a consequence paclitaxel dose was reduced to 175 mg/m² in the last 40 pts of this series (80%). Conclusions: TCE treatment is effective and induces tumor control in a substantial subgroup of patients. This analysis confirms the data of Hainsworth et al. and shows in an unselected population nearly the same encouraging results. [Table: see text]

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Prognostic differences among patients with idiopathic interstitial pneumonias with acute exacerbation of varying pathogenesis: a retrospective study

Respiratory Research ◽

10.1186/s12931-019-1247-z ◽

2019 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Motoyasu Kato ◽

Tomoko Yamada ◽

Shunichi Kataoka ◽

Yuta Arai ◽

Keita Miura ◽

...

Keyword(s):

Mortality Rate ◽

Survival Time ◽

Acute Exacerbation ◽

Significant Risk ◽

Early Death ◽

Patient Characteristics ◽

Serum Markers ◽

University Hospital ◽

Radiological Findings ◽

Idiopathic Interstitial Pneumonias

Abstract Background Acute exacerbation of chronic fibrosing idiopathic interstitial pneumonias (AE-IIPs) is associated with a high mortality rate. In 2016, an international working group proposed a revised diagnostic criteria for AE-IIPs, suggesting that it be classified as idiopathic or triggered. Many factors are known to trigger AE-IIPs, including surgery, infection, and drugs. However, it is unknown which AE-IIPs triggers have a worse prognosis. We aimed to investigate the prognosis of patients with various clinical types of AE-IIPs, particularly infection-triggered, non-infection triggered, and idiopathic AE-IIPs. Methods We retrospectively collected data from 128 chronic fibrosing IIPs (CF-IIPs) patients who were hospitalized by respiratory failure between April 2009 and March 2019 at Juntendo University Hospital. Among these patients, we evaluated 79 patients who developed AE-IIPs and 21 who developed pneumonia superimposed on CF-IIPs. Patients with AE-IIPs were classified into three types: idiopathic, infection-triggered, and non-infection-triggered AE-IIPs. We analyzed differences in patient characteristics, examination findings; level of serum markers, results of pulmonary function, and radiological findings, prior treatment for baseline CF-IIPs, and prognosis. We then evaluated the risk factor for early death (death within 30 days from the onset of AE-IIPs) associated with AE-IIPs. Results Among the patients who developed AE-IIPs, 34 were characterized as having idiopathic, 25 were characterized as having infection-triggered, and 20 were categorized as having non-infection-triggered AE-IIPs. Survival time for pneumonia superimposed on IIPs was significantly longer than that for any AE-IIPs. Survival time for bacterial pneumonia superimposed on CF-IIPs was significantly longer than that for AE-IIPs (for each idiopathic and all triggered IIPs). Thereafter, survival time for infection-triggered was significantly longer than for idiopathic or non-infection-triggered AE-IIPs. The mortality rate was significantly lower in infection-triggered AE-IIPs than in other types of AE-IIPs. Furthermore, the incidence of infection-triggered AE-IIPs in winter was significantly higher than that in other seasons. Moreover, the clinical AE-IIPs types and radiological findings at AE-IIP onset were significant risk factors for AE-IIPs-induced early death. Conclusions Our findings suggest that patients with infection-triggered AE-IIPs can expect a better prognosis than can patients with other clinical types of AE-IIPs.

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Pseudorabies virus tracing of neural pathways between the uterine cervix and CNS: Effects of survival time, estrogen treatment, rhizotomy, and pelvic nerve transection

The Journal of Comparative Neurology ◽

10.1002/(sici)1096-9861(20000320)418:4<484::aid-cne9>3.0.co;2-l ◽

2000 ◽

Vol 418 (4) ◽

pp. 484-503 ◽

Cited By ~ 36

Author(s):

Jeung Woon Lee ◽

Mary S. Erskine

Keyword(s):

Survival Time ◽

Uterine Cervix ◽

Pseudorabies Virus ◽

Estrogen Treatment ◽

Neural Pathways ◽

Nerve Transection ◽

Pelvic Nerve ◽

Virus Tracing ◽

Cns Effects

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Use of the Magnetostatic Analogue In Electromagnetic Lens Engineering

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s0424820100068795 ◽

1970 ◽

Vol 28 ◽

pp. 360-361

Author(s):

John W. Coleman

Keyword(s):

Boundary Conditions ◽

High Performance ◽

Force Fields ◽

Optical Design ◽

Direct Conversion ◽

Design Engineering ◽

Design Data ◽

Scalar Potentials ◽

Geometric Elements ◽

At Will

In the design engineering of high performance electromagnetic lenses, the direct conversion of electron optical design data into drawings for reliable hardware is oftentimes difficult, especially in terms of how to mount parts to each other, how to tolerance dimensions, and how to specify finishes. An answer to this is in the use of magnetostatic analytics, corresponding to boundary conditions for the optical design. With such models, the magnetostatic force on a test pole along the axis may be examined, and in this way one may obtain priority listings for holding dimensions, relieving stresses, etc..The development of magnetostatic models most easily proceeds from the derivation of scalar potentials of separate geometric elements. These potentials can then be conbined at will because of the superposition characteristic of conservative force fields.

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