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Early-onset colorectal cancer:A review of current knowledge

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World Journal of Gastroenterology 2023年第8期29卷 1289-1303页

作者： Margarida R Saraiva Isadora Rosa isabel Claro Department of Gastroenterology Instituto Português de Oncologia de Lisboa Francisco GentilLisboa 1099-023Portugal

Colorectal cancer(CRC)is one of the most prevalent malignancies *** most prevalent among older people,its incidence above 50 years old has been decreasing globally in the last decades,probably as a result of better ***,its incidence in patients below 50 years old[early-onset CRC(EO-CRC)]has been increasing,for reasons not yet fully ***’s increasing incidence is genre independent but shows racial disparities and has been described to occur *** follows a birth-cohort effect which probably reflects a change in exposure to CRC risk *** incidence is predicted to double until 2030,which makes EO-CRC a serious public health *** modifiable and non-modifiable risk factors have been identified-some are potential targets for preventive ***-CRC is often diagnosed at advanced stages and histological features associated with poor prognosis have been ***-CRC presents some distinctive features:Microsatellite instability is common,but another subtype of tumours,both microsatellite and chromosome stable also seems *** are no age-specific treatment protocols and studies on EO-CRC survival rates have shown conflicting *** to the higher germline pathological mutations found in EO-CRC patients,an accurate genetic risk evaluation should be *** this review,we summarize the current evidence on epidemiological,clinical,histopathological and molecular features of EO-CRC and discuss the contribution of genetics and lifestyle risk *** further comment on screening strategies and specific dimensions to consider when dealing with a younger cancer patient.

关键词： Colorectal cancer Early-onset Adenocarcinoma Hereditary Birth-cohort effect Risk factors

Sentinel lymph node metastasis after neoadjuvant treatment in breast cancer:Any size matters?

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World Journal of Clinical Oncology 2015年第6期6卷 202-206页

作者： isabel T Rubio Breast Surgical Oncology Unit Breast Cancer CenterHospital Universitario Vall d'HebronUniversitat Autònoma de Barcelona

One of the advantages of neoadjuvant chemotherapy(NAC) treatments is its ability to convert patients who need a mastectomy in breast conservative surgery. NAC has also increased the conversion of node positive patients into node negative in around 40% allowing the use of sentinel node biopsy(SLN) in this setting. Timing of SLN biopsy after NAC has been a subject of debate. In patients with clinically node negative before NAC,rates of success and false negative rates of SLN after NAC are similar to those in the adjuvant setting,so SLN after NAC in previous negative axilla has been incorporated in the staging of the axilla. More controversial is its use in patients with positive axillary nodes before NAC who convert to node negative after NAC. Several randomized studies have reported the identification rates and the false negative rates of the SLN after NAC,concordant in the importance of surgical technique. As there is an agreement in the abandon of the immunohistochemistry(IHC) for SLN in the adjuvant setting as SLN IHC detected metastasis appear to have no impact on overall survival,in patients with SLN after NAC the inclusion of isolated tumor cell(ITC) as positive nodes lowers the false negative rates of the technique,suggesting the importance of assessing the SLN by IHC after NAC and considering it as residual disease. Longer follow up is needed to determine the prognostic implications of ITC in the SLN after NAC.

关键词： Sentinel node Metastasis Neoadjuvant treatment Breast cancer

Intraspecific competition in Zabrotes subfasciatus： Physiological and behavioral adaptations to different amounts of host

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Insect Science 2012年第1期19卷 102-111页

作者： isabel R.V.Teixeira Fernando S.Zucoloto Insect Nutrition and Feeding Behavior Laboratory Department of BiologyFaculdade de Filosofia Ciencias e Letras de Ribeirao Preto Universidade de Sao PauloSao Paulo epartment of Biology Federal Institute of Sul de Minas-Campus MuzambinhoIFSULDEMINAS MuzambinhoMinas GeraisBrazil

The effects of competition on populations of the bean weevil Zabrotes sub- fasciatus were analyzed during 41 generations under different competition levels. Three competition environments were established by maintaining the number of couples （6） and varying the amount of available host seeds： HC, high （limited availability of host： 1.35 g）; IC, intermediate （intermediate availability of host： 6 g）; and LC, low competition （abun- dance of host： 36 g）. It was found that the distribution of the eggs laid on grains was different among treatments： in LC, for example, although females showed high fecundity （35.4 ± 5.6 eggs/female） the number of eggs laid on each grain was small （1.2 ± 0.4 eggs on each seed）, thus avoiding larval competition of their offspring; whereas in HC treatment, females showed low fecundity （27.04 ± 4.5 eggs/female） but laid many eggs on each grain （15.03 ± 4.3 eggs）. There were no changes in the ability to respond to different amounts of host via oviposition behavior （egg distribution） during 41 generations. How- ever, HC females had more offspring than LC females under HC conditions. This suggests that HC insects evolved toward higher fitness in crowded conditions. In addition, after inverting the competition level, insects behaved independently of the treatment conditions they experienced through generations, thus showing that oviposition behavior is flexible. Taken together, our results show that Z. subfasciatus presents a broad range of behavioral and physiological responses which allows for quick and reversible adjustments to sudden changes in the amount of resources.

关键词： bean weevil Coleoptera egg distribution oviposition Phaseolus vulgaris phenotypic plasticity

Engineering nanoparticles for targeting rheumatoid arthritis： Past, present, and future trends

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Nano Research 2018年第9期11卷 4489-4506页

作者： isabel Matos Oliveira Cristiana Goncalves Rui Lufs Reis Joaquim Miguel Oliveira B's Research Group - Biomatefials Biodegradables and Biomimetics Headquarters of the European Institute of Excellence on Tissue Engineering and Regenerative Medicine AvePark 4805-017 Barco Guimaraes Portugal ICVS/3B's-PTGovernment Associate Laboratory University of Minho Campus de Gualtar 4710-057 Braga Portugal The Discoveries Centre for Regenerative and Precision Medicine Headquarters at University of Minho Avepark 4805-017 Barco Guimaraes Portugal

Rheumatoid arthritis （RA） is a chronic inflammatory disease characterized by synovial joint inflammation and cartilage and bone tissue destruction. Although there exist some treatment strategies for RA, they are not completely safe and effective. Therefore, it is important to develop and test new drugs for RA that specifically target inflamed/swollen joints and simultaneously attenuate other possible damages to healthy tissues. Nanotechnology can be a good alternative to consider when envisioning predse medication for treating RA. Through the use of nanopartides, it is possible to increase bioavailability and bioactivity of therapeutics and enable selective targeting to damaged joints. Herein, recent studies using nanoparticles for the treatment of RA, namely with liposomes, polymeric nanoparticles, dendrimers, and metallic nanoparticles, have been reviewed. These therapeutic strategies have shown great promise in improving the treatment over that by traditional drugs. The results of these studies confirm that feasibility of the use of nanopartides is mainly due to their biocompatibility, low toxicity, controlled release, and selective drug delivery to inflamed tissues in animal RA models. Therefore, it is possible to claim that nanotechnology will, in the near future, play a crucial role in advanced treatments and patient-specific therapies for human diseases such as RA.

关键词： nanoparticles liposomes dendrimers rheumatoid arthritis

Cell-type-specific memory consolidation driven by translational control

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Signal Transduction and Targeted Therapy 2021年第2期6卷 206-208页

作者： Qing Zhang isabel Bestard-Lorigados Weihong Song Townsend Family Laboratories Department of PsychiatryThe University of British ColumbiaVancouverBCCanada Institute of Aging School of Mental Health and Kangning HospitalThe Second Affiliated Hospital and Yuying Children’s HospitalWenzhou Medical UniversityWenzhouChina

***’s group has significantly contributed to the understanding of translational control in learning and *** a recent Nature article,they further reported the cell-typespecific translational control underlying memory consolidation.1 Long-term potentiation(LTP)has been widely acknowledged as one of the main cellular models of learning and ***,there are two components of LTP driven by different stimulations and *** early phase of LTP(E-LTP)and short-term memory(STM)are evoked for short periods and are temporary,relying primarily on modifications of pre-existing *** late phase of LTP(L-LTP)and consequent longterm memory(LTM)are elicited by strong and repetitive stimulation and are long-lasting,requiring new protein synthesis.

关键词： synthesis. translational stimulation

An update on iron physiology

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World Journal of Gastroenterology 2009年第37期15卷 4617-4626页

作者： Manuel Muoz isabel Villar José Antonio García-Erce Transfusion Medicine School of Medicine University of Málaga Málaga 29071 Spain Department of Hospital Pharmacy University Hospital Miguel Servet Zaragoza 50009 Spain Hematology and Hemotherapy University Hospital Miguel Servet Zaragoza 50009 Spain

Iron is an essential micronutrient, as it is required for adequate erythropoietic function, oxidative metabolism and cellular immune responses. Although the absorption of dietary iron (1-2 mg/d) is regulated tightly, it is just balanced with losses. Therefore, internal turnover of iron is essential to meet the requirements for erythropoiesis (20-30 mg/d). Increased iron requirements, limited external supply, and increased blood loss may lead to iron deficiency (ID) and iron-deficiency anemia. Hepcidin, which is made primarily in hepatocytes in response to liver iron levels, inflammation, hypoxia and anemia, is the main iron regulatory hormone. Once secreted into the circulation, hepcidin binds ferroportin on enterocytes and macrophages, which triggers its internalization and lysosomal degradation. Thus, in chronic inflammation, the excess of hepcidin decreases iron absorption and prevents iron recycling, which results in hypoferremia and iron-restricted erythropoiesis, despite normal iron stores (functional ID), and anemia of chronic disease (ACD), which can evolve to ACD plus true ID (ACD + ID). In contrast, low hepcidin expression may lead to iron overload, and vice versa. Laboratory tests provide evidence of iron depletion in the body, or reflect iron-deficient red cell production. The appropriate combination of these laboratory tests help to establish a correct diagnosis of ID status and anemia.

关键词： Iron metabolism Iron deficiency Functionaliron deficiency, Hepcidin Anemia of chronic disease

Local Phase Portraits through the Newton Diagram of a Vector Field

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Acta Mathematica Sinica,English Series 2015年第6期31卷 1015-1034页

作者： Antonio ALGABA isabel CHECA Cristóbal GARCIA Manuel REYES Department of Mathematics Faculty of Experimental Sciences

The Newton diagram and, in particular, the lowest-degree quasi-homogeneous terms of an analytic planar vector field allow us to determine the existence of characteristic orbits and separatrices of an isolated singular point. We give an easy algorithm for obtaining the local phase portrait near the origin of a bi-dimensional differential system and we provide several examples.

关键词： Monodromy separatrices phase portraits quasi-homogeneous vector field

Evaluation of the efficiency of urban solid waste management in Brazil by data envelopment analysis and possible variables of influence

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Waste Disposal and Sustainable Energy 2024年第2期6卷 283-295页

作者： isabel das Merces Costa Marta Ferreira Dias Margarita Robaina GOvCOPP-Research Unit on Governance Competitiveness and Public Policies and Analyst of UniversidadeEstadual de Feira de SantanaUniversidade de AveiroAveiroPortugal GOvCOPP-Research Unit on Governance Competitiveness and Public PoliciesDEGEIT-Department of EconomicsManagementIndustrial Engineering and TourismUniversidade de AveiroAveiroPortugal

This article has the general objective of estimating the efficiency of urban solid waste management in 940 Brazilian munici-palities through Data Envelopment Analysis(DEA)technique and has specific objectives:(i)to estimate efficiency scores;(ii)to compare the performance between different groups of municipalities;and(ii)to analyze the profile of efficient munici-palities from the perspective of the guidelines of Law 12,305/2010 and socio-economic and environmental *** technique used was DEA with output-oriented and variable scale to return *** results showed higher efficiency scores in the municipalities with populations above 500,000 *** score variation ranged from 0.5(municipalities with populations<10,000 inhabitants)to 0.9(municipalities with more than 500,000 inhabitants).Of the sample set,only 12.34%of the municipalities were considered efficient,and when analyzing the efficient group,it was found that adherence to legislation was not a major factor in achieving efficiency.

关键词： Urban solid waste management Data envelopment analysis Efficiency Brazil Municipalities

Common-path interferometric label-free protein sensing with resonant dielectric nanostructures

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Light(Science & Applications) 2020年第1期9卷 1086-1094页

作者： isabel Barth Donato Conteduca Christopher Reardon Steven Johnson Thomas F.Krauss Department of Physics University of YorkYO105DD YorkUK Department of Electronic Engineering University of YorkYO105DD YorkUK

Research toward photonic biosensors for point-of-care applications and personalized medicine is driven by the need for high-sensitivity,low-cost,and reliable *** the most sensitive modalities,interferometry offers particularly high performance,but typically lacks the required operational simplicity and ***,we introduce a common-path interferometric sensor based on guided-mode resonances to combine high performance with inherent *** sensor exploits the simultaneous excitation of two orthogonally polarized modes,and detects the relative phase change caused by biomolecular binding on the sensor *** wide dynamic range of the sensor,which is essential for fabrication and angle tolerance,as well as versatility,is controlled by integrating multiple,tuned structures in the field of *** approach circumvents the trade-off between sensitivity and dynamic range,typical of other phase-sensitive modalities,without increasing *** sensor enables the challenging label-free detection of procalcitonin,a small protein(13 kDa)and biomarker for infection,at the clinically relevant concentration of 1 pg mL^(−1),with a signal-to-noise ratio of *** result indicates the utility for an exemplary application in antibiotic guidance,and opens possibilities for detecting further clinically or environmentally relevant small molecules with an intrinsically simple and robust sensing modality.

关键词： dielectric integrating simplicity