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- Stacchiotti, S., et al.
(författare)
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Epithelioid hemangioendothelioma, an ultra-rare cancer : a consensus paper from the community of experts
- 2021
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Ingår i: ESMO Open. - : Elsevier BV. - 2059-7029. ; 6:3
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Forskningsöversikt (refereegranskat)abstract
- Epithelioid hemangioendothelioma (EHE) is an ultra-rare, translocated, vascular sarcoma. EHE clinical behavior is variable, ranging from that of a low-grade malignancy to that of a high-grade sarcoma and it is marked by a high propensity for systemic involvement. No active systemic agents are currently approved specifically for EHE, which is typically refractory to the antitumor drugs used in sarcomas. The degree of uncertainty in selecting the most appropriate therapy for EHE patients and the lack of guidelines on the clinical management of the disease make the adoption of new treatments inconsistent across the world, resulting in suboptimal outcomes for many EHE patients. To address the shortcoming, a global consensus meeting was organized in December 2020 under the umbrella of the European Society for Medical Oncology (ESMO) involving >80 experts from several disciplines from Europe, North America and Asia, together with a patient representative from the EHE Group, a global, disease-specific patient advocacy group, and Sarcoma Patient EuroNet (SPAEN). The meeting was aimed at defining, by consensus, evidence-based best practices for the optimal approach to primary and metastatic EHE. The consensus achieved during that meeting is the subject of the present publication.
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| 2. |
- Callegaro, S., et al.
(författare)
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Effects of alginate on stability and ecotoxicity of nano-TiO2 in artificial seawater LLER CL, 1993, COLLOIDS AND SURFACES A-PHYSICOCHEMICAL AND ENGINEERING ASPECTSSYMP ON
- 2015
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Ingår i: Ecotoxicology and Environmental Safety. - : Elsevier BV. - 0147-6513. ; 117, s. 107-114
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Tidskriftsartikel (refereegranskat)abstract
- The large-scale use of titanium dioxide nanoparticles (nano-TiO2) in consumer and industrial applications raised environmental health and safety concerns. Potentially impacted ecosystems include estuarine and coastal organisms. Results from ecotoxicological studies with nano-TiO2 dispersed in salt exposure media are difficult to interpret due to fast flocculation and sedimentation phenomena affecting the dispersion stability. The goal of this study was to investigate the stabilisation effect of alginate on uncoated nano-TiO2 in artificial seawater dispersions used in ecotoxicity bioassays. The most effective stabilisation was obtained at alginate concentration of 0.45 g/L after sonicating dispersions for 20 min (100 W). The size distribution remained constant after re-suspension, indicating that no agglomeration occurred after deposition. Ecotoxicity tests on Anemia franciscana and Phaeodactylum tricornutum did not show any adverse effects related to the presence of alginate in the exposure media, and provided evidence on possible reduced bioavailability of nano-TiO2. The suitable concentration of alginate is recommended to occur on a case-by-case basis. (C) 2015 Elsevier Inc. All rights reserved.
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| 3. |
- Søreide, K., et al.
(författare)
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Immediate and long-term impact of the COVID-19 pandemic on delivery of surgical services
- 2020
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Ingår i: British Journal of Surgery. - : Oxford University Press (OUP). - 0007-1323 .- 1365-2168. ; 107:10, s. 1250-1261
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Forskningsöversikt (refereegranskat)abstract
- Background: The ongoing pandemic is having a collateral health effect on delivery of surgical care to millions of patients. Very little is known about pandemic management and effects on other services, including delivery of surgery. Methods: This was a scoping review of all available literature pertaining to COVID-19 and surgery, using electronic databases, society websites, webinars and preprint repositories. Results: Several perioperative guidelines have been issued within a short time. Many suggestions are contradictory and based on anecdotal data at best. As regions with the highest volume of operations per capita are being hit, an unprecedented number of operations are being cancelled or deferred. No major stakeholder seems to have considered how a pandemic deprives patients with a surgical condition of resources, with patients disproportionally affected owing to the nature of treatment (use of anaesthesia, operating rooms, protective equipment, physical invasion and need for perioperative care). No recommendations exist regarding how to reopen surgical delivery. The postpandemic evaluation and future planning should involve surgical services as an essential part to maintain appropriate surgical care for the population during an outbreak. Surgical delivery, owing to its cross-cutting nature and synergistic effects on health systems at large, needs to be built into the WHO agenda for national health planning. Conclusion: Patients are being deprived of surgical access, with uncertain loss of function and risk of adverse prognosis as a collateral effect of the pandemic. Surgical services need a contingency plan for maintaining surgical care in an ongoing or postpandemic phase.
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| 6. |
- Callegaro, S., et al.
(författare)
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Geochemistry of deep Tunguska Basin sills, Siberian Traps : correlations and potential implications for the end-Permian environmental crisis
- 2021
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Ingår i: Contributions to Mineralogy and Petrology. - : Springer Nature. - 0010-7999 .- 1432-0967. ; 176:7
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Tidskriftsartikel (refereegranskat)abstract
- A vast portion of the plumbing system of the Siberian Traps Large Igneous Province (STLIP) is emplaced in the Tunguska Basin, where borehole data reveal ubiquitous and abundant sills with great lateral extension. These intrusions intersect Cambrian-Ordovician evaporite, carbonate and siliciclastic series, and locally coal-bearing Permian host rocks, with a high potential for thermogenic gas generation. Here we present new geochemical data from 71 magmatic and 4 sedimentary rock samples from the Tunguska Basin center and periphery, recovered from 15 deep sills intercepted by boreholes. The studied samples are all low-Ti basalt and basaltic andesites, confirming absence of high-Ti and alkaline STLIP magmatism in the Tunguska Basin. The sills derive from picritic parental melts produced by extensive melting of a mantle source with recycled crustal components below a thinned lithosphere (50-60 km), within the spinel stability field. The mantle source was dominantly peridotitic, with enriched pyroxenitic domains formed by recycled lower crust, in agreement with previous models for the main tholeiitic STLIP phase. Limited amounts (up to 5%) of highly radiogenic granitoids or moderately radiogenic metapelites were assimilated in upper crustal magma reservoirs. After emplacement, sills intruded in Cambrian evaporites assimilated marlstones and interacted with the evaporitic host rocks, probably via fluids and brines. This is the first time that such process is described in subvolcanic rocks from all across the volcanic basin. The sills are correlated geochemically with the established chemostratigraphy for the on-craton STLIP lava piles and intrusions (Norilsk region). Sills correlated with the Morongovsky-Mokulaevsky Fm. and the Norilsk-type intrusions are the most voluminous, present all across the central Tunguska Basin, and bear the strongest evidence of interaction with evaporites. Massive discharge of thermogenic volatiles is suggested by explosive pipes and hydrothermal vent structures throughout the Tunguska Basin. We propose that this voluminous pulse of magmatism is a good candidate for the hitherto unidentified early intrusive phase of the STLIP, and may link the deep Tunguska basin sills to the end-Permian environmental crisis.
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