MELANOMAS, SARCOMAS, AND RENAL METASTASES IN THE LIVER: HOW TO TREAT?

Liver metastases from melanomas, sarcomas, and renal tumors are less frequent. Treatment and prognosis will depend on whether they are isolated or multiple, size and location, the presence or absence of extrahepatic neoplastic disease, age, stage of the initial disease, initial treatments instituted, time of evolution, and clinical condition of the patient. Recently, a high number of oncological therapies including monotherapy or in combination, neoadjuvants or adjuvants, and immuno-oncological treatments have been developed and tested, increasing disease-free time and survival.

Statistical analysis plan for hemodynamic phenotype-based, capillary refill time-targeted resuscitation in early septic shock: the ANDROMEDA-SHOCK-2 randomized clinical trial.

Background: ANDROMEDA-SHOCK 2 is an international, multicenter, randomized controlled trial comparing hemodynamic phenotype-based, capillary refill time-targeted resuscitation in early septic shock to standard care resuscitation to test the hypothesis that the former is associated with lower morbidity and mortality in terms of hierarchal analysis of outcomes.

Objective: To report the statistical plan for the ANDROMEDA--SHOCK 2 randomized clinical trial.

Methods: We briefly describe the trial design, patients, methods of randomization, interventions, outcomes, and sample size.

Working Memory Deficits in School-Age Children With Cochlear Implants Are Primarily Explained by Deficits in the Processing of Auditory and Lexical Information.

Purpose: Prelingual deaf children with cochlear implants show lower digit span test scores compared to normal-hearing peers, suggesting a working memory impairment. To pinpoint more precisely the subprocesses responsible for this impairment, we designed a sequence reproduction task with varying length (two to six stimuli), modality (auditory or visual), and compressibility (sequences with more or less regular patterns). Results on 22 school-age children with cochlear implants and 21 normal-hearing children revealed a deficit of children with cochlear implants only in the auditory modality.

Tree age affects key fine root morphological traits but does not interfere strongly with (ecto-)mycorrhizal traits.

Background And Aims: It is assumed that trees should adapt their above and belowground organs as they age. However, most studies to date have quantified these trait adjustments in homogeneous forest stands, confounding the effect of stand aging on soil properties and the intrinsic response of trees to aging.

Methods: Here, we examined 11 morphological, architectural, anatomical and mycorrhizal fine root traits of each of the first five orders for 66 Pinus koraiensis individuals of 16 to 285 years old in northeast China, while accounting for soil characteristics (pH and total C, N and P concentrations).

Early-onset sleep alterations found in patients with amyotrophic lateral sclerosis are ameliorated by orexin antagonist in mouse models.

Sleep alterations have been described in several neurodegenerative diseases yet are currently poorly characterized in amyotrophic lateral sclerosis (ALS). This study investigates sleep macroarchitecture and related hypothalamic signaling disruptions in ALS. Using polysomnography, we found that both patients with ALS as well as asymptomatic and mutation carriers exhibited increased wakefulness and reduced non-rapid eye movement sleep.

Unraveling Ofloxacin Behavior in Aqueous Environments: Molecular Dynamics of Colloidal Formation and Surface Adsorption Mechanisms.

Ofloxacin, a commonly prescribed antibiotic, raises serious environmental concerns due to its persistence in aquatic systems. This study offers new insights into the environmental behavior of ofloxacin and its interactions with carbon-based adsorbents with the aim of enhancing our understanding of its removal mechanisms via adsorption processes. Using a comprehensive computational approach, we analyzed the speciation, pK values, and solubility of ofloxacin across various pH conditions, accounting for all four microspecies, including the often-overlooked neutral form.

European ILD registry algorithm for self-assessment in interstitial lung diseases (eurILDreg ASA-ILD).

Background And Aims: Predicting progression and prognosis in Interstitial Lung Diseases (ILD), especially Idiopathic Pulmonary Fibrosis (IPF) and Progressive Pulmonary Fibrosis (PPF), remains a challenge. Integrating patient-centered measurements is essential for earlier and safer detection of disease progression. Home monitoring through e-health technologies, such as spirometry and oximetry connected to smartphone applications, holds promise for early detection of ILD progression or acute exacerbations, enabling timely therapeutic interventions.

HIV-1 resistance mutations and genetic diversity among children failing antiretroviral treatment in five healthcare facilities in Benin, West Africa.

Background: Antiretroviral treatment increases the risk of accumulation of resistance mutations that negatively impact the possibilities of future treatment. This study aimed to present the frequency of HIV-1 antiretroviral resistance mutations and the genetic diversity among children with virological failure in five pediatric care facilities in Benin.

Methods: A cross-sectional study was carried out from November 20, 2020, to November 30, 2022, in children under 15 years of age who failed ongoing antiretroviral treatment at five facilities care in Benin (VL > 3log10 on two consecutive realizations three months apart).

A simple tool to evaluate the effectiveness of HIV care for settings with gaps in data availability (ESTIHIV).

Many HIV clinics with poor IT-infrastructure are unable to report data on individuals in care with HIV, on antiretroviral treatment (ART) and virologically suppressed (VS), with the aim of monitoring the HIV Continuum of Care to estimate efficacy of HIV treatment programmes. We developed an estimation-tool, ESTIHIV, and determined the minimal data required for a random sample, to produce representative estimates, with a specified level of precision, of people with HIV on ART and VS. For proof of concept, 8852 HIV positive persons from seven clinics in seven different countries, with a follow-up visit during 2017, were included.

Replication-Poison Treatment in BRCA1-Deficient Breast Cancer Causes MRE11 Over-Resection that Induces Single-Stranded DNA Accumulation and Mitotic Catastrophe.

BRCA1 deficiency is observed in approximately 25% of triple-negative breast cancer (TNBC). BRCA1, a key player of homologous recombination (HR) repair, is also involved in stalled DNA replication fork protection and repair. Here, we investigated the sensitivity of BRCA1-deficient TNBC models to the frequently used replication chain terminator gemcitabine, which does not directly induce DNA breaks.

Computational Methods for Modeling Lipid-Mediated Active Pharmaceutical Ingredient Delivery.

Lipid-mediated delivery of active pharmaceutical ingredients (API) opened new possibilities in advanced therapies. By encapsulating an API into a lipid nanocarrier (LNC), one can safely deliver APIs not soluble in water, those with otherwise strong adverse effects, or very fragile ones such as nucleic acids. However, for the rational design of LNCs, a detailed understanding of the composition-structure-function relationships is missing.

Metabolically stable apelin analogs: development and functional role in water balance and cardiovascular function.

Apelin, a (neuro) vasoactive peptide, plays a prominent role in controlling water balance and cardiovascular functions. Apelin and its receptor co-localize with vasopressin in magnocellular vasopressinergic neurons. Apelin receptors (Apelin-Rs) are also expressed in the collecting ducts of the kidney, where vasopressin type 2 receptors are also present.

Amphiphilic Poly(β-Myrcene--Acrylic Acid) Copolymers Synthesized by Nitroxide-Mediated Copolymerization as Stabilizers of Terpene-Based Waterborne Latex.

Terpene-based amphiphilic copolymers have been designed as biobased stabilizers for waterborne latex synthesized by miniemulsion or emulsion polymerization of 1,3-diene terpene monomers. The pH-responsive P(AA--My) amphiphilic copolymers were synthesized by nitroxide-mediated radical copolymerization of β-myrcene (My) and acrylic acid (AA) with reactivity ratios of = 0.24 ± 0.

Default Bulk Ordering and Text Messaging to Enhance Outreach for Lipid Screening: A Randomized Clinical Trial.

Importance: A comprehensive lipid panel is recommended by guidelines to evaluate atherosclerotic cardiovascular disease risk, but uptake is low.

Objective: To evaluate whether direct outreach including bulk orders with and without text messaging increases lipid screening rates.

Design, Setting, And Participants: Pragmatic randomized clinical trial conducted from June 6, 2023, to September 6, 2023, at 2 primary care practices at an academic health system among patients aged 20 to 75 years with at least 1 primary care visit in the past 3 years who were overdue for lipid screening.

Stochastic Density Functional Theory for Ions in a Polar Solvent.

In recent years, the theoretical description of electrical noise and fluctuation-induced effects in electrolytes has gained renewed interest, enabled by stochastic field theories like stochastic density functional theory (SDFT). Such models, however, treat solvents implicitly, ignoring their generally polar nature. In the present study, starting from microscopic principles, we derive a fully explicit SDFT theory that applies to ions in a polar solvent.

Elastic Wave Packets Crossing a Space-Time Interface.

The interaction between waves and evolving media challenges traditional conservation laws. We experimentally investigate the behavior of elastic wave packets crossing a moving interface that separates two media with distinct propagation properties, observing the noninvariance of wavelength and frequency. Our experimental setup employs an elastic strip whose local stretching can be dynamically altered by pulling one end at a constant velocity.

Symmetry: A Fundamental Resource for Quantum Coherence and Metrology.

We introduce a new paradigm for the preparation of deeply entangled states useful for quantum metrology. We show that, when the quantum state is an eigenstate of an operator A, observables G which are completely off diagonal with respect to A have purely quantum fluctuations, as quantified by the quantum Fisher information, namely, F_{Q}(G)=4⟨G^{2}⟩. This property holds regardless of the purity of the quantum state, and it implies that off-diagonal fluctuations represent a metrological resource for phase estimation.

Temperature-Dependent Magnetic Resonance Relaxation Behaviors in Porous Materials.

We observe divergent temperature-dependent magnetic resonance relaxation behaviors across various brine-saturated porous materials. The paramagnetic and diamagnetic nature of the samples underlies these divergent behaviors. The temperature-dependent trends of the longitudinal T_{1} and transverse T_{2} relaxation times are systematically explained via distinct relaxation-diffusion regimes of Brownstein-Tarr theory.

Superselection Rules and Bosonic Quantum Computational Resources.

We present a method to systematically identify and classify quantum optical nonclassical states as classical or nonclassical based on the resources they create on a bosonic quantum computer. This is achieved by converting arbitrary bosonic states into multiple modes, each occupied by a single photon, thereby defining qubits of a bosonic quantum computer. Starting from a bosonic classical-like state in a representation that explicitly respects particle number superselection rules, we apply universal gates to create arbitrary superpositions of states with the same total particle number.

Accurate Standard Siren Cosmology with Joint Gravitational-Wave and γ-Ray Burst Observations.

Joint gravitational-wave and γ-ray burst (GRB) observations are among the best prospects for standard siren cosmology. However, the strong selection effect for the coincident GRB detection, which is possible only for sources with small inclination angles, induces a systematic uncertainty that is currently not accounted for. We show that this severe source of bias can be removed by inferring the a priori unknown electromagnetic detection probability directly from multimessenger data.

Observation of Optical Chaotic Solitons and Modulated Subharmonic Route to Chaos in Mode-Locked Laser.

We reveal a new scenario for the transition of solitons to chaos in a mode-locked fiber laser: the modulated subharmonic route. Its universality is confirmed in two different laser configurations, namely, a figure-of-eight and a ring laser. Numerical simulations of the laser models agree well with the experiments.

Soliton Dynamics over a Disordered Topography.

We report on the dynamics of a soliton propagating on the surface of a fluid in a 4-m-long canal with a random or periodic bottom topography. Using a full space-and-time resolved wave field measurement, we evidence, for the first time experimentally, how the soliton is affected by the disorder, in the context of Anderson localization, and how localization depends on nonlinearity. For weak soliton amplitudes, the localization length is found in quantitative agreement with a linear shallow-water theory.

Topological Moiré Polaritons.

The combination of an in-plane honeycomb potential and of a photonic spin-orbit coupling (SOC) emulates a photonic or polaritonic analog of bilayer graphene. We show that modulating the SOC magnitude allows us to change the overall lattice periodicity, emulating any type of moiré-arranged bilayer graphene with unique all-optical access to the moiré band topology. We show that breaking the time-reversal symmetry by an effective exciton-polariton Zeeman splitting opens a large topological gap in the array of moiré flat bands.