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Prostate cancer upgrading or downgrading of biopsy Gleason scores at radical prostatectomy:prediction of"regression to the mean"using routine clinical features with correlating biochemical relapse rates

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Asian Journal of Andrology 2019年第6期21卷 598-604页

作者： Muammer Altok Patricia Troncoso Mary F Achim Surena F Matin graciela n gonzalez John W Davis Department of Urology University of Texas MD Anderson Cancer CenterHoustonTX 77030USA Department of Pathology University of Texas MD Anderson Cancer CenterHoustonTX 77030USA Department of Biostatistics University of Texas MD Anderson Cancer CenterHoustonTX 77030USA.

Recommendations for managing clinically localized prostate cancer are structured around clinical risk criteria,with prostate biopsy(PB)Gleason score(GS)being the most important *** to radical prostatectomy(RP)specimen upgrading/downgrading is welldescribed,and is often the ratio nale for costly imaging or genomic *** prese nt simple,no-cost an a lyses of clinical parametersto predict which GS 6 and GS 8 patients will change to GS 7 at *** May 2006 to December 2012,1590 patientsunderwent robot-assisted radical prostatectomy(RARP).After exclusions,we identified a GS 6 cohort of 374 patients and a GS 8cohort of 91 *** this era,>1000 additional patients were enrolled in an active surveillanee(AS)*** GS 6,265(70.9%)of 374 patients were upgraded,and the cohort included 183(48.9%)patients eligible for AS by the Prostate Cancer ResearchInternational Active Surveillance Study(PRIAS)standards,of which 57.9%were *** features that predicted a>90%chanceof upgrading included≥7 cores positive,maximum foci length≥8 mm in any core,and total tumor involvement≥30%.For GS 8,downgrading occurred in 46(50.5%),which was significantly higher for single core versus multiple cores(80.4%vs 19.6%,P=0.011).Biochemical recurre nee(BCR)occurred in 3.4%of GS 6 upgraded versus 0%non upgraded,and in GS 8,19.6%downgraded versus42.2%nondown *** coun seling men with clin ically localized prostate can cer,the odds of GS cha nge should be presented,andcertain men with high-volume GS 6 or low-volume GS 8 can be counseled with GS 7-based recommendations.

关键词： biopsy down grade Gleas on score prostate cancer upgrade

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natural vegetation cover in the landscape and edge effects： differential responses of insect orders in a fragmented forest

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Insect Science 2017年第5期24卷 891-901页

作者： Ezequiel gonzalez Adriana Salvo graciela Valladares Centro de Investigaciones Entomologicas de Cordoba IMBIV UNC CONICET FCEFyN Av. Velez Sarfield 1611 Cordoba CordobaX5000GMC Argentina

Human activities have led to global simplification of ecosystems, among which neotropical dry forests are some of the most threatened. Habitat loss as well as edge effects may affect insect communities. Here, we analyzed insects sampled with pan traps in 9 landscapes （at 5 scales, in 100-500 m diameter circles） comprising cultivated fields and Chaco Serrano forests, at overall community and taxonomic order level. In total 7043 specimens and 456 species of hexapods were captured, with abundance and richness being directly related to forest cover at 500 m and higher at edges in comparison with forest interior. Community composition also varied with forest cover and edge^interior location. Different responses were detected among the 8 dominant orders. Collembola, Hemiptera, and Orthoptera richness and^or abundance were positively related to forest cover at the larger scale, while Thysanoptera abundance increased with forest cover only at the edge. Hymenoptera abundance and richness were negatively related to forest cover at 100 m. Coleoptera, Diptera, and Hymenoptera were more diverse and abundant at the forest edge. The generally negative influence of forest loss on insect communities could have functional consequences for both natural and cultivated systems, and highlights the relevance of forest conservation. Higher diversity at the edges could result from the simultaneous presence of forest and matrix species, although ＂resource mapping＂ might be involved for orders that were richer and more abundant at edges. Adjacent crops could benefit from forest proximity since natural enemies and pollinators are well represented in the orders showing nositive edge effects.

关键词： Chaco Serrano edge effect forest cover habitat loss insects orders

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Arthropods on plants in a fragmented neotropical dry forest： A functional analysis of area loss and edge effects

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Insect Science 2015年第1期22卷 129-138页

作者： Ezequiel gonzalez Adriana Salvo graciela Valladares Centro de Investigaciones Entomol6gicas de C6rdoba (IMBIV - COnICET) and Universidad nacional de C6rdoba C6rdoba Argentina

Loss and fragmentation of natural ecosystems are widely recognized as the most important threats to biodiversity conservation, with neotropical dry forests among the most endangered ecosystems. Area and edge effects are major factors in fragmented landscapes. Here, we examine area and edge effects and their interaction, on ensembles of arthropods associated to native vegetation in a fragmented Chaco Serrano forest. We analyzed family richness and community composition of herbivores, predators, and parasitoids on three native plant species in 12 fragments of varying size and at edge/interior positions. We also looked for indicator families by using Indicator Species Analysis. Loss of family richness with the reduction of forest fragment area was observed for the three functional groups, with sirnilar magnitude. Herbivores were richer at the edges without interaction between edge and area effects, whereas predators were not affected by edge/interior position and parasitoid richness showed an interaction between area and position, with a steeper area slope at the edges. Family composition of herbivore, predator, and parasitoid assemblages was also affected by forest area and/or edge/interior situation. We found three indicator families for large remnants and five for edges. Our results support the key role of forest area for conservation of arthropods taxonomic and functional diversity in a highly threatened region, and emphasize the need to understand the interactions between area and edge effects on such diversity.

关键词： area loss Chaco Serrano edge effect forest arthropods functional groups habitat fragmentation

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Determination of Fungal Colonization in the Oral Cavity of College Students

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Journal of Life Sciences 2012年第10期6卷 1133-1141页

作者： Floridia Ricardo Rodriguez graciela Ampuero Veronica gonzalez Luis Department of Parasitology and Mycology National University of San Luis San Luis 5700 Argentina

In recent years, an increase in opportunistic fungal colonization in the oral cavity in immunocompetent patients （IC） has been observed. In the bibliography, the most observable genre is Candida and less frequently found are other opportunistic such as Aspergillus, Rhizopus, Cryptococcus, and others. The authors determined the presence of fungi in the oral cavity of IC students, and their relationship with the concentration of secretory IgA in saliva. To this end, we collected 50 samples of oral cavity swabs, which underwent direct examination and culture in Sabouraud dextrose agar with chloramphenicol. For its identification, CHROMagar Candida and API Candida （BioMerieux） were used. We obtained nine positive cultures （7 Candida albicans and 2 Saccharomyses cerevisiae）, which represented 18% of the studied population. Throughout radial immunodiffusion （RID plates-PLATE）, we determined the concentration of secretory IgA. no relationship was observed between the colonized group and group that was not colinized. The colonization rate found is below the one described in the bibliography （30% to 50%）. However, these opportunistic fungi cause transitory colonization with no clinical relevance in IC patients and, its percentage can vary according to the studied population.

关键词： Oral cavity immunocompetent Candida fungal colonization.

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Mid and late Holocene forest fires and deforestation in the subalpine belt of the Iberian range,northern Spain

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Journal of Mountain Science 2016年第10期13卷 1760-1772页

作者： Jose M.GARCIA-RUIZ Yasmina SAnJUAn graciela GIL-ROMERA Penelope gonzalez-SAMPERIZ Santiago BEGUERIA Jose ARnAEZ Paz COBA-PEREZ Amelia GOMEZ-VILLAR Javier ALVAREZ-MARTInEZ noemi LAnA-REnAULT Estela PEREZ-CARDIEL Carlos LOPEZ DE CALLE Instituto Pirenaico de Ecologfa Consejo Superior de Investigaciones Cientificas(IPE-CSIC)Campus de Aula DeiP.O.Box 13.03450.080-ZaragozaSpain Estacion Experimental de Aula Dei Consejo Superior de Investigaciones Cientificas(EEAD-CSIC)Campus de Aula DeiP.O.Box 13.03450.080-ZaragozaSpain Area of Physical Geography University ofLa Rioja26.004-LogronoSpain Centro de Investigaciones en Geografia Ambiental Universidad Nacional Autonoma de MexicoUnidad MoreliaAntigua Carretera a Patzcuaro 870158190-MoreliaMichoacanMexico Departamento de Geografia y Geologia Faeultad de Filosofia y LetrasUniversidad de LeonCampus de Vegazana24.071-LeonSpain Departamento de Ingenieria Agricola y Forestal Universidad de ValladolidCampus La Yutera34.071-PalenciaSpain Department of Geography and Land Management University of Zaragoza50.009-ZaragozaSpain Freelance archaeologist Auda.Colon426003-LogronoSpain

The conversion of subalpine forests into grasslands for pastoral use is a well-knownphenomenon, although for most mountain areas the timing of deforestation has not been determined. The presence of charcoal fragments in soil profiles affected by shallow landsliding enabled us to date the occurrence of fires and the periods of conversion ofsubalpine forest into grasslands in the Urbión Mountains, Iberian Range, Spain. We found that the treeline in the highest parts of the northwestern massifs of the Iberian Range(the Urbión, Demanda, neila, and Cebollera massifs) is currently between 1500 and 1600 m a.s.l., probably because of pastoral use of the subalpine belt, whereas in the past it would have reached almost the highest divides(at approximately 2100–2200 m a.s.l.). The radiocarbon dates obtained indicate that the transformation of the subalpine belt occurred during the Late neolithic, Chalcolithic, Bronze Age, Iron Age, and Middle Ages. Forest clearing was probably moderate during fires prior to the Middle Ages, as the small size of the sheep herds and the local character of the markets only required small clearings, and therefore more limited fires. Thus, it is likely that the forest recovered burnt areas in a few decades; this suggests the management of the forest and grasslands following a slash-andburn system. During the Middle and Modern Ages deforestation and grassland expansion affected most of the subalpine belt and coincided with the increasing prevalence of transhumance, as occurred in other mountains in the Iberian Peninsula(particularly the Pyrenees). Although the occurrence of shallow landslides following deforestation between the neolithic and the Roman Period cannot be ruled out, the most extensive shallow landsliding processes would have occurred from the Middle Ages until recent times.

关键词： Forest fires Holocene Subalpinegrasslands Shallow landslides Landscape changes Iberian Range

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Botulinum Toxin A, Effect on Tensile Strength of Skin Wounds;Animal Study

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Journal of Biosciences and Medicines 2020年第2期8卷 17-24页

作者： Carlos A. gonzalez-Alvarado Juan Garzon-Muvdi Roxanna Perez-Garmendia Victoria Ramirez Luz graciela Cervantes Adriana Rodriguez-Gomez Rodrigo Davila-Diaz Cuahutemoc Marquez-Espriella Plastic and Reconstructive Surgery Division Hospital Central Sur de alta Especialidad de Petroleos Mexicanos Mexico City Mexico Experimental Surgery Department Instituto Nacional de Ciencias Medicas y Nutrición Salvador Zubiran Mexico City Mexico Pharmacology Department Instituto nacional de Cardiologia Ignacio Chavez Mexico City Mexico Pathology Department Hospital Angeles del Pedregal Mexico City Mexico

Wound healing and cicatrization is a process that involves several phases. The main goal of a surgeon and specially the plastic surgeon is to achieve the best cosmetic results and avoid complications. Several tools are available to achieve the best result. One of the tools recently studied is the use of Botulinum toxin. The use of Botulinum toxin has showed to be a useful aid by improving macroscopic cosmetic changes, as histopathologic ones. The increase of the tensile strength is also one of the positive changes that come with the use of botulinum toxin.

关键词： Botulinum Toxin Wound Tensile Strength

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