Discovery of two dimensional (2D) magnets, showing intrinsic ferromagnetic (FM) or antiferromagnetic (AFM) orders, has accelerated development of novel 2D spintronics, in which all the key components ...are made of van der Waals (vdW) materials and their heterostructures. High-performing and energy-efficient spin functionalities have been proposed, often relying on current-driven manipulation and detection of the spin states. In this regard, metallic vdW magnets are expected to have several advantages over the widely-studied insulating counterparts, but have not been much explored due to the lack of suitable materials. Here, we report tunable itinerant ferro- and antiferromagnetism in Co-doped Fe
GeTe
utilizing the vdW interlayer coupling, extremely sensitive to the material composition. This leads to high T
antiferromagnetism of T
~ 226 K in a bulk and ~210 K in 8 nm-thick nanoflakes, together with tunable magnetic anisotropy. The resulting spin configurations and orientations are sensitively controlled by doping, magnetic field, and thickness, which are effectively read out by electrical conduction. These findings manifest strong merits of metallic vdW magnets as an active component of vdW spintronic applications.
Two feeding experiments were conducted to investigate the effects of dietary inclusion of different plant ingredients on growth and body composition of juvenile sea cucumber. In the first experiment, ...three replicate groups of the sea cucumber (average weight of 1.5 ± 0.05 g) were fed one of the seven experimental diets containing Sargassum thunbergii (CON), Undaria (UND), Laminaria (LAM), Brassica oleracea L. var. capitata (BRA), fermented soybean (FSB), distillers dried grain (DDG) and rice straw powder (RIC) for 10 weeks. After the feeding trial, survival was not significantly different among the dietary treatments. Specific growth rate (SGR) of sea cucumber fed the FSB diet (0.73) was significantly higher than that of sea cucumber fed the other diets (P < 0.05), except for the DDG diet (0.64). The lowest SGR was observed in sea cucumber fed the CON diet (0.14). Based on the result of the first experiment, the second experiment was conducted to determine the proper level of dietary DDG for growth of juvenile sea cucumber. Three replicate groups of sea cucumber (average weight of 1.6 ± 0.02 g) were fed one of the five experimental diets containing different levels (g kg−1) of DDG (DDG0, DDG10, DDG20, DDG30 and DDG40) for 12 weeks. Survival was not significantly different among the treatments (P > 0.05). The best SGR was obtained in sea cucumber fed the DDG10 diet (10.1) and the value of sea cucumber fed the DDG40 diet (5.6) was the lowest (P < 0.05). The SGR of sea cucumber fed the DDG10 diet did not differ from that of sea cucumber fed the DDG20 diet (P > 0.05). Moisture, crude protein, crude lipid and ash contents of whole body in sea cucumber among the dietary treatments (P > 0.05) did not differ significantly at both experiments. Results of two feeding trial suggest that dietary inclusion with 100 g kg−1 FSB or 100–200 g kg−1 DDG may improve growth of juvenile sea cucumber, and especially DDG could be used as a good ingredient for the low‐cost feed formulation.
Epidermal growth factor receptor (EGFR) is overexpressed in a subset of human epidermal growth factor receptor 2 (HER2)-positive breast cancers, and coexpression of HER2 and EGFR has been reported to ...be associated with poor clinical outcome. Moreover, interaction between HER2 and EGFR has been suggested to be a possible basis for trastuzumab resistance.
We analysed the clinical significance of EGFR overexpression and EGFR gene copy number alterations in 242 HER2-positive primary breast cancers. In addition, we examined the correlations between EGFR overexpression, trastuzumab response and clinical outcome in 447 primary, and 112 metastatic HER2-positive breast cancer patients treated by trastuzumab.
Of the 242 primary cases, the level of EGFR overexpression was 2+ in 12.7% and 3+ in 11.8%. High EGFR gene copy number was detected in 10.3%. Epidermal growth factor receptor overexpression was associated with hormone receptor negativity and high Ki-67 proliferation index. In survival analyses, EGFR overexpression, but not high EGFR copy number, was associated with poor disease-free survival in all patients, and in the subgroup not receiving adjuvant trastuzumab. In 447 HER2-positive primary breast cancer patients treated with adjuvant trastuzumab, EGFR overexpression was also an independent poor prognostic factor. However, EGFR overexpression was not associated with trastuzumab response, progression-free survival or overall survival in the metastatic setting.
Epidermal growth factor receptor overexpression, but not high EGFR copy number, is a poor prognostic factor in HER2-positive primary breast cancer. Epidermal growth factor receptor overexpression is a predictive factor for trastuzumab response in HER2-positive primary breast cancer, but not in metastatic breast cancer.
Intraoperative use of a high-dose remifentanil may induce postoperative hyperalgesia. Low-dose naloxone can selectively reverse some adverse effects of opioids without compromising analgesia. We thus ...hypothesized that the intraoperative use of a high-dose remifentanil combined with a low-dose naloxone infusion reduces postoperative hyperalgesia compared with the use of remifentanil alone.
Patients undergoing elective thyroid surgery were randomly assigned into one of three groups, depending on the intraoperative effect-site concentration of remifentanil, with or without a continuous infusion of naloxone: 4 ng ml−1 remifentanil with 0.05 μg kg−1 h−1 naloxone in the high-remifentanil with naloxone group, and 4 or 1 ng ml−1 remifentanil with a placebo in the high- or low-remifentanil groups, respectively. We measured the pain thresholds (primary outcome) to mechanical stimuli using von Frey filaments and incidence of hyperalgesia on the peri-incisional area 24 h after surgery. We also measured pain intensity, analgesic consumptions and adverse events up to 48 h after surgery.
The pain threshold presented as von Frey numbers median (interquartile range) was significantly lower in the high-remifentanil group (n=31) than in the high-remifentanil with naloxone (n=30) and the low-remifentanil (n=30) groups 3.63 (3.22–3.84) vs 3.84 (3.76–4.00) vs 3.80 (3.69–4.08), P=0.011. The incidence of hyperalgesia was also higher in the high-remifentanil group than in the other groups 21/31 vs 10/30 vs 9/30, P=0.005. Postoperative pain intensity, analgesic consumptions and adverse events were similar between groups.
The intraoperative use of low-dose naloxone combined with high-dose remifentanil reduced postoperative hyperalgesia but not pain.
NCT02856087.
Summary
We aimed to investigate the effect of the analgesia nociception index on postoperative pain. We randomly allocated 170 women scheduled for gynaecological laparotomy and analysed results from ...159: in 80 women, remifentanil was infused to maintain analgesia nociception indices 50–70; and in 79 women, remifentanil was infused to maintain systolic blood pressure < 120% of baseline values. The primary outcome was the proportion of women with pain scores ≥ 5 (scale 0–10) within 40 min of admission to recovery. The proportion of women with pain scores ≥ 5 was 62/80 (78%) vs. 64/79 (81%), p = 0.73. Mean (SD) doses of fentanyl in recovery were 53.6 (26.9) μg vs. 54.8 (20.8) μg, p = 0.74. Intra‐operative remifentanil doses were 0.124 (0.050) μg.kg−1.min−1 vs. 0.129 (0.044) μg.kg−1.min−1, p = 0.55.
Abstract
Antibiotic-resistant bacteria in poultry meat are a threat to public health. In this study, we compared the Enterococcus spp. loads and antibiotic-resistance profiles between carcasses of ...conventionally and organically raised chickens. A total of 144 chicken carcasses (72 conventional and 72 organic) was collected from local retail markets in Seoul, South Korea. Overall, 77.7% (112 of 144; 75% conventional and 80% organic) of chicken carcasses were positive for Enterococcus. The mean loads of Enterococcus spp. were greater in conventional chicken carcasses, at 2.9 ± 0.4 log CFU/mL, than those in organic chicken carcasses, at 1.78 ± 0.3 log CFU/mL (p < 0.05). A total of 104 isolates (52 from conventional and 52 from organic chicken carcasses) was randomly selected for further analysis. The predominant species was Enterococcus faecalis in both conventional and organic chicken carcasses (57.7 and 76.9%, respectively; P > 0.05). Rates of resistance to ciprofloxacin and erythromycin, which are used in veterinary medicine in South Korea, were significantly higher in conventional chicken carcasses than in organic chicken carcasses. However, we found no difference between the rates of resistance to antibiotics such as vancomycin and tigecycline, which were not registered for use in veterinary medicine in South Korea, of Enterococcus isolates from conventional and organic chicken carcasses. In addition, although multidrug resistant isolates were obtained from both types of chicken samples, the prevalence of samples positive for Enterococcus was significantly higher in conventional chicken carcasses than in organic chicken carcasses (P < 0.05). The most common multidrug resistance pattern was erythromycin-tetracycline-rifampicin in conventional chicken carcasses and quinupristin-dalfopristin-tetracycline-rifampicin in organic chicken carcasses. A high level of gentamicin resistance was observed in isolates from not only conventional (5.8%) but also organic chicken (1.9%) carcasses, with no significant difference in rates between them (P > 0.05). Despite this, our results suggest that organic food certification is effective in reducing fecal contamination and the burden of antibiotic-resistant Enterococcus spp. in chicken carcasses.
Anaplastic lymphoma kinase (ALK) inhibition using crizotinib has become the standard of care in advanced ALK-rearranged non-small cell lung cancer (NSCLC), but the treatment outcomes and duration of ...response vary widely. Echinoderm microtubule-associated protein-like 4 (EML4)-ALK is the most common translocation, and the fusion variants show different sensitivity to crizotinib in vitro. However, there are only limited data on the specific EML4-ALK variants and clinical responses of patients to various ALK inhibitors.
By multiplex reverse-transcriptase PCR, which detects 12 variants of known EML4-ALK rearrangements, we retrospectively determined ALK fusion variants in 54 advanced ALK rearrangement-positive NSCLCs. We subdivided the patients into two groups (variants 1/2/others and variants 3a/b) by protein stability and evaluated correlations of the variant status with clinical responses to crizotinib, alectinib, or ceritinib. Moreover, we established the EML4-ALK variant-expressing system and analyzed patterns of sensitivity of the variants to ALK inhibitors.
Of the 54 tumors analyzed, EML4-ALK variants 3a/b (44.4%) was the most common type, followed by variants 1 (33.3%) and 2 (11.1%). The 2-year progression-free survival (PFS) rate was 76.0% 95% confidence interval (CI) 56.8-100 in group EML4-ALK variants 1/2/others versus 26.4% (95% CI 10.5-66.6) in group variants 3a/b (P = 0.034) among crizotinib-treated patients. Meanwhile, the 2-year PFS rate was 69.0% (95% CI 49.9-95.4) in group variants 1/2/others versus 32.7% (95% CI 15.6-68.4) in group variants 3a/b (P = 0.108) among all crizotinib-, alectinib-, and ceritinib-treated patients. Variant 3a- or 5a-harboring cells were resistant to ALK inhibitors with >10-fold higher half maximal inhibitory concentration in vitro.
Our findings show that group EML4-ALK variants 3a/b may be a major source of ALK inhibitor resistance in the clinic. The variant-specific genotype of the EML4-ALK fusion allows for more precise stratification of patients with advanced NSCLC.
Phytohormones play critical roles in regulating plant responses to stress. Here, we investigated the effects of salt stress and stress recovery by applying jasmonate to the two different rice (Oryza ...sativa L.) cultivars Dongjinchalbyeo (DJC, salt‐tolerant) and Dongjinbyeo (DJ, salt‐sensitive). Salt stress remarkably decreased the root length of plants even at low NaCl concentration (20 mm). Salt stress led to a sharp increase in the concentrations of abscisic acid (ABA) in 20 and 40 mm NaCl, when compared with the control values. The concentrations of ABA in the salt‐tolerant cultivar DJC plants progressively increased with increasing NaCl levels, whereas in the salt‐sensitive cultivar DJ, they sharply decreased in all three parts of rice plants at 80 mm NaCl treatment. The decrease of jasmonic acid (JA) concentrations in salt‐tolerant cultivar DJC was lesser than in the salt‐sensitive cultivar DJ plants in the shoot. Post‐application in the stressed plants with 30 μm JA at 24 and 48 h after NaCl treatment, recovered salt inhibition on dry mass production more effectively than application of JA at 48 and 24 h before salt stress, and during salt stress simultaneously. The uptake of Na decreased especially in the salt‐sensitive cultivar DJ plants, whereas there was an increase in Ca and Mg levels and slight increase of K by JA application. Leaf water potential, leaf photosynthetic rate, and maximum quantum yield of photosystem II (PSII) also remarkably recovered when 30 μm JA was applied 24 h after the salt stress compared with the 40 mm NaCl‐treated plants. These results clearly indicate that post‐application with exogenous JA can ameliorate salt‐stressed rice seedlings, especially the salt‐sensitive cultivar rather than the salt‐tolerant cultivar. This may change the balance of other endogenous plant hormones.
The aim of this study was to compare laparoscopic and laparotomic surgical staging in patients with stage I epithelial ovarian cancer in terms of feasibility and safety. A retrospective chart review ...was undertaken of all patients with apparent stage I epithelial ovarian cancer who underwent laparoscopic (laparoscopy group) or laparotomic (laparotomy group) surgical staging at the Center for Uterine Cancer, National Cancer Center, Korea, between January 2001 and August 2006. During the study period, 19 patients underwent laparotomic surgical staging and 17 patients underwent laparoscopic surgical staging. No cases were converted from laparoscopy to laparotomy. The two groups were similar in terms of age, body mass index, procedures performed, number of lymph nodes retrieved, and operating time. The laparoscopy group had less estimated blood loss (P = 0.001), faster return of bowel movement (P < 0.001), and a shorter postoperative hospital stay (P = 0.002) compared to the laparotomy group. Transfusions were required only in two laparotomy patients, and postoperative complications occurred only in four laparotomy patients. However, two patients with stage IA grade 1 and 2 disease in laparoscopy group had recurrence with one patient dying of disease. The accuracy and adequacy of laparoscopic surgical staging were comparable to laparotomic approach, and the surgical outcomes were more favorable than laparotomic approach. However, the oncologic safety of laparoscopic staging was not certain. This is the first report on the possible hazards of laparoscopic staging in early-stage ovarian cancer. In the absence of a large prospective trial, this technique should be performed cautiously.
Giant particles transported over long distances are generally of limited concern in atmospheric studies due to their low number concentrations in mineral dust and possible local origin. However, they ...can play an important role in regional circulation of earth materials due to their enormous volume concentration. Asian dust laden with giant particles was observed in Korea on 31 March 2012, after a migration of about 2000 km across the Yellow Sea from the Gobi Desert. Scanning electron microscopy (SEM) revealed that 20% of the particles exceeded 10 mu m in equivalent sphere diameter, with a maximum of 60 mu m. The median diameter from the number distribution was 5.7 mu m, which was larger than the diameters recorded of 2.5 and 2.9 mu m in Asian dust storms in 2010 and 2011, respectively, and was consistent with independent optical particle counter data. Giant particles (>10 mu m) contributed about 89% of the volume of the dust in the 2012 storm. Illite-smectite series clay minerals were the major mineral group followed by quartz, plagioclase, K-feldspar, and calcite. The total phyllosilicate content was ~52%. The direct long-range transport of giant particles was confirmed by calcite nanofibers closely associated with clays in a submicron scale identified by high-resolution SEM and transmission electron microscopy. Since giant particles consisted of clay agglomerates and clay-coated quartz, feldspars, and micas, the mineral composition varied little throughout the fine (<5 mu m), coarse (5-10 mu m), giant-S (10-20 mu m), and giant-L (>20 mu m) size bins. Analysis of the synoptic conditions of the 2012 dust event and its migration indicated that the mid-tropospheric strong wind belt directly stretching to Korea induced rapid transport of the dust, delivering giant particles. Giant dust particles with high settling velocity would be the major input into the terrestrial and marine sedimentary and ecological systems of East Asia and the western Pacific. Analysis of ancient aeolian deposits in Korea suggested the common deposition of giant particles from Asian dust through the late Quaternary Period. The roles of giant particles should be reviewed with regard to regional circulation of mineral particles and nutrients.
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