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McKenzie Koenig posted an update 5 hours, 47 minutes ago
To assess the accuracy and applicability of an electromagnetic navigation system (EMNS) for CT-guided microwave ablation (MWA) of hepatic tumors in comparison with conventional CT-guidance.
34 patients (m = 20/f = 14, mean age 34y) with 34 liver tumors (primary = 22, metastases = 14, mean size 20mm) referred for CT-guided MWA were included in this IRB-approved study. Interventions were performed prospectively using an EMNS in 17 patients (navigation group), and results were compared to a matched historic cohort of 17 patients using conventional CT-guidance (control group, t-test, p < 0.05 deemed significant). Primary outcome measurement accuracy of antenna placement (deviation). Secondary outcome measurements setup time, number of control scans, duration and radiation exposure for antenna placement.
Ablations were performed using a single or a double-angulated approach. Application of the EMNS was feasible in 14 cases (82%). Mean total deviation of the antenna feed point in the navigation and control group was 2.4mm (range 0.2-4.8mm) and 3.9mm (range 0.4-7.8mm), p < 0.05. Mean setup time for the EMNS was 6.75 ± 3.9min (range 3-12min). Mean number of control scans in the navigation and control group was 3 ± 0.9 (range 1-4) and 6 ± 1.3 (range 4-8), p < 0.0001; mean time for antenna placement was 9 ± 7.3min (range 1.4-25.9min) and 11.45 ± 6.1min (range 3.9-27.4min), p = 0.3164. Radiation exposure was significantly less in the navigation group.
Our experience in a limited number of patients suggests that EMNS enables intuitive CT-guided MWA of liver tumors with higher accuracy when compared to ablations performed without navigation and with fewer control scans needed.
Our experience in a limited number of patients suggests that EMNS enables intuitive CT-guided MWA of liver tumors with higher accuracy when compared to ablations performed without navigation and with fewer control scans needed.Indoor exposure to air pollutants emitted by solid fuels used for cooking or heating homes remains as a problem to solve. The most affected people are newborns, mothers, children, and people with disabilities, due to the time they spend at home. This study is the first in a rural area of South America, which measures indoor air pollutants (PM2.5 and black carbon) in different environments, inhabited by people with disabilities. The research was supported through a sociodemographic characterization, a methodology useful for future studies, continuous monitoring for 72 h of pollutants, and emission sources, cooking habits, and pre-existing diseases were identified. The primary sources of emissions are improved wood-burning stoves and their chimney. In households where firewood is used, the average concentrations of PM2.5 were the highest (between 10.9 and 3302.5 μg/m3), as were the average concentrations of BC (average 72 h between 2.6 and 51.2 μg/m3) compared with the houses that use gas (average 72 h between 2.6 and 6 μg/m3). In 57% of the households visited, the World Health Organization (WHO) guidelines for PM2.5 (25 μg/m3 for 24 h) were exceeded. The results reveal that rural concentrations of BC can be up to 2.5 times higher than those of an urban area with high vehicular traffic and high population density and could be used to establish a baseline that allows the implementation of control mechanisms to reduce pollution of indoor air.Repairing DNA damage is one of the most important functions of the ‘housekeeping’ proteins, as DNA molecules are constantly subject to different kinds of damage. An important mechanism of DNA repair is the mismatch repair system (MMR). In eukaryotes, it is more complex than it is in bacteria or Archaea due to an inflated number of paralogues produced as a result of an extensive process of gene duplication and further specialization upon the evolution of the first eukaryotes, including an important part of the meiotic machinery. Recently, the discovery and sequencing of Asgard Archaea allowed us to revisit the MMR system evolution with the addition of new data from a group that is closely related to the eukaryotic ancestor. This new analysis provided evidence for a complex evolutionary history of eukaryotic MMR an archaeal origin for the nuclear MMR system in eukaryotes, with subsequent acquisitions of other MMR systems from organelles.Wobble coding is inevitable during evolution of the Standard Genetic Code (SGC). It ultimately splits half of NN U/C/A/G coding boxes with different assignments. Further, it contributes to pervasive SGC order by reinforcing close spacing for identical SGC assignments. But wobble cannot appear too soon, or it will inhibit encoding and more decisively, obstruct evolution of full coding tables. However, these prior results assumed Crick wobble, NN U/C and NN A/G, read by a single adaptor RNA. Superwobble translates NN U/C/A/G codons, using one adaptor RNA with an unmodified 5′ anticodon U (appropriate to earliest coding) in modern mitochondria, plastids, and mycoplasma. Ziritaxestat Assuming the SGC was selected when evolving codes most resembled it, characteristics of the critical selection events can be calculated. For example, continuous superwobble infrequently evolves SGC-like coding tables. So, continuous superwobble is a very improbable origin hypothesis. In contrast, late-arising superwobble shares late Crick wobble’s frequent resemblance to SGC order. Thus late superwobble is possible, but yields SGC-like assignments less frequently than late Crick wobble. Ancient coding ambiguity, most simply, arose from Crick wobble alone. This is consistent with SGC assignments to NAN codons.Membrane proteins govern critical cellular processes and are central to human health and associated disease. Understanding of membrane protein function is obscured by the vast ranges of structural dynamics-both in the spatial and time regime-displayed in the protein and surrounding membrane. The membrane lipids have emerged as allosteric modulators of membrane protein function, which further adds to the complexity. In this review, we discuss several examples of membrane dependency. A particular focus is on how molecular dynamics (MD) simulation have aided to map membrane protein dynamics and how enhanced sampling methods can enable observing the otherwise inaccessible biological time scale. Also, time-resolved X-ray scattering in solution is highlighted as a powerful tool to track membrane protein dynamics, in particular when combined with MD simulation to identify transient intermediate states. Finally, we discuss future directions of how to further develop this promising approach to determine structural dynamics of both the protein and the surrounding lipids.