Comparison if the addition of multilevel vertebral augmentation to conventional therapy will improve the outcome of patients with multiple myeloma

Background

This was a prospective study to evaluate the effect of multilevel vertebral augmentation in addition to conventional therapy in multiple myeloma patients.

Methods

We treated 27 patients, whom were recently diagnosed to have multiple myeloma by two ways of treatment. Thirteen patients (group I) were treated with conventional therapy and 14 patients (group II) with adding vertebroplasty and kyphoplasty. Patients were evaluated pre-treatment and at half, one, two and 3-years post-treatment by using Oswestry Disability Index (ODI), the Stanford Score (SS) and the Spinal Instability Neoplastic Score (SINS).

Results

Mean values of ODI, SS and SINS were 31.9 (63.8%), 4.3 and 13.8 for group I and 33.2 (66.4%), 4.6 and 12.8 for group II before starting treatment. Group II showed improvement better than group I at all follow-up intervals with best results at first 6 months. P-values at the end of the study were ODI?=?0.047, SS?=?0.180 and SINS?=?0.002. Mortality rates were equal of both groups (four patients of each group).

Conclusion

Adding vertebral augmentation to conventional therapy improves multiple myeloma patients’ quality of life, but didn’t affect the mortality rate.

     

Male mating preference of two cryptic species of the herbivorous insect Eccritotarsus catarinensis

When using biological control against pest populations, more than one biocontrol agent might be introduced simultaneously. This could be counterproductive in the event of negative interactions between the biocontrol agents. Within and between species interactions have a strong impact on mating behaviour and reproduction, and can have an impact on the effectiveness of biological control. We studied the reproductive compatibility between two geographically isolated strains (Brazil and Peru) of Eccritotarsus catarinensis (Heteroptera: Miridae), a biocontrol agent against the invasive aquatic weed, Eichhornia crassipes. By performing inter- and intra-species mating experiments, we investigated whether or not males from each of the cryptic species would be able to distinguish between partners from either species, and if they would mate with partners from the opposite species. Our results showed the decrease in lifetime fecundity, and most importantly, the lack of production of offspring from eggs resulting from forced hybridisation. We showed that Peruvian males mated only with females from their own species, and did not mate with females from the Brazilian species. In contrast, Brazilian males mated equally with females from both species, but needed significantly more time in order to commence a mating, and no offspring were produced from eggs resulting from hybridisation. Although future studies demand more rigorous controls, our results indicate asymmetrical sexual isolation between the two species. We speculate on mechanisms involved in reproductive isolation in the two cryptic species, and the possible implications for effective biocontrol, and include some morphological measurements that might support our assumptions.     

Failure of an enriched nitrite-DPAO population to use nitrate as an electron acceptor

The metabolism of denitrifying polyphosphate accumulating organisms (DPAO) is not completely known. Recent reports suggest the existence of two types of DPAOs: those that can use nitrate and nitrite as electron acceptors (nitrate-DPAO) and those that can only use nitrite (nitrite-DPAO). Then, the survival of nitrite-DPAO in nitrate reducing environments is due to the existence of flanking denitrifying species, which reduce nitrate to nitrite. This works aims at a better understanding of the nitrite-DPAO population. For this aim, a nitrite-DPAO population was previously selected in a SBR using nitrite as electron acceptor. Then, nitrate utilisation by nitrite-DPAO was studied within a short-term period (4 days) and within a long-term period (50 days) with simultaneous nitrite and nitrate additions. The results obtained clearly indicate that nitrite-DPAO fail to use nitrate as electron acceptor even after 50 days of periodic dosing of nitrate and agree with the dual DPAO theory. Moreover, this failure casts doubts on the feasibility of nitrite based EBPR systems (i.e. partial nitrification + nitrite-DPAO) because these systems will not be able to denitrify an occasional nitrate inlet, which will remain in the effluent.     

GlcNAc-Thiazoline conformations

The title compound, a powerful inhibitor of retaining N-acetylhexosaminidases, can move freely among three pyranose solution conformations of similar energy—two twist boats and the ⁴C₁ chair—as revealed by NMR, calculational, and crystallographic studies. It binds in the enzyme active site only in the pseudo-⁴C₁ conformation, however, in which it most closely resembles the hypothetical bound substrate transition state, a ⁴E sofa that is approximately trigonal bipyramidal at the anomeric carbon.     

Fitness consequences of low temperature storage of Aphidius ervi

In biological control programs, storage at low temperatures is used to produce large number of individuals before inundative releases. However, an exposure to low temperatures may affect the survival of exposed individuals and some life history traits such as the daily fecundity or the longevity of the survivors. This impact on life history traits is important because they will determine the growth potential of the population. To estimate the costs of different treatments of low temperature exposure, we analyzed the main instantaneous demographic parameters of the parental generation of Aphidius ervi Haliday (Hymenoptera: Braconidae: Aphidiinae) when exposed to three storage temperatures (7, 4 and 0 °C), combined with two storage durations (one and two weeks) and two thermal regimes (constant and fluctuating), which represents a total of 12 treatments and a control. The average cohort generation time (Tc) decreased significantly after exposure to low temperature, particularly in fluctuating treatments. This means that development continues during storage. Cumulative fecundity and the net reproductive rate (R ₀ ) decreased significantly for most of the storage treatments. This decrease was most pronounced in the constant temperature treatments. Females under fluctuating thermal regime produced a higher cumulative fecundity than those exposed to constant temperatures. Surprisingly, an exposure to 0 °C over one week did not affect emergence rate and fecundity whereas all other treatments did. Storage at low temperatures may affect the efficiency of inundative releases, with the exception of storage for one week at 0 °C. Moreover, cumulative fecundity and net reproductive rate (R ₀ ) represent a more immediate prediction of the increase of the population after low temperature exposure than the intrinsic rate of increase (r _m ), and reflect the qualities required in an inundative release context.     

OGA inhibition by GlcNAc-selenazoline

The title compound, which differs from the powerful O-GlcNAcase (OGA) inhibitor GlcNAc-thiazoline only at the chalcogen atom (Se for S), is a much weaker inhibitor in a direct OGA assay. In human cells, however, the selenazoline shows comparable ability to induce hyper-O-GlcNAc-ylation, and the two show similar reduction of insulin-stimulated translocation of glucose transporter 4 in differentiated 3T3 adipocytes.     

What are the possible benefits of small size for energy‐constrained ectotherms in cold stress conditions?

In stressful environments, two main hypotheses have been proposed to explain the consequences of body size: (1) the absolute energy demand hypothesis (AED), which predicts that larger individuals are at a disadvantage under stressful conditions; (2) the relative efficiency hypothesis (RE), which predicts the reverse. We compared the effects of cold stress on different fitness traits of large and small individuals of the parasitoid wasp Aphidius ervi (Hymenoptera: Aphidiinae). For that, we exposed nymphs of this wasp to 5 treatment conditions as follows (control at 20°C; 7C1 and 7C2: constant cold temperature of 7°C for 1 and 2 weeks respectively; 4C1 and 4C2: constant cold temperature of 4°C for 1 and 2 weeks respectively). After cold stress, only the large females that emerged in the 7C2 and 4C2 treatments displayed a reduction in the fitness traits studied (longevity, egg load at emergence, life‐time fecundity). The decrease in lipid content in large adults may have been responsible for their lower fitness. Our results thereby supported the AED hypothesis. Furthermore, the small females in these treatments produced more eggs at emergence than the control females. This highlights the fact that in stressful environments, small females switch their reproductive strategy from a synovigenic strategy (in which females mature new eggs after emergence) to a more pro‐ovigenic one (in which females emerge with more mature eggs).     

Prediction of survival ratios of Cadra cautella (Lepidoptera: Pyralidae) different life stages after treated with ultraviolet radiation in dates

Date palm, is a tree of economic importance which is grown around the world, including Saudi Arabia. Its fruit is nutritious and possesses medicinal benefits. Almond moth, is a serious date fruits pest in the field as well as in the storage and causes severe economic losses. In the given research, ultraviolet radiation type B (UV-B, 315 nm) harmful effects were evaluated against all developmental stages of C. cautella. One and 3-d-old eggs, 12 and 18-d-old larvae, 1-d and 6-d-old pupae, and 1-d-old adults, were exposed to UV-B for different intervals. Eggs were exposed for 0–30 min and 0% hatchability was achieved both for 1-d and 3-d-old eggs after 30 min. The larvae were exposed for 6–24 h, and after 24 h, mortality was 100 and 97% for 12 and 18-d-old larvae, respectively. Similarly, the pupae were exposed for 0–30 h, and 100% mortality was achieved after 30 h for 1-d-old pupae. Furthermore, none of the 6-d-old pupae emerged as an adult after 12 h of exposure. When adults were exposed for 1–4 d, no mortality was observed; however, UV-B reduced fecundity and hatchability in the treated adults. The susceptibility order was as follows: eggs > larvae > pupae > adults. Several uncharacteristic behaviors of C. cautella were noted, such as females depositing eggs openly on food items and containers, mature larvae exiting from food, larvae starting to wander for pupation, and pupation occurring typically outside the food. The application of UV-B could be an effective management strategy because all developmental stages of C. cautella were susceptible to UV-B that might be helpful to protect the dates from C. cautella infestation.     

Physiological costs of cold exposure on the parasitoid <Emphasis Type="Italic">Aphidius ervi</Emphasis>, without selection pressure and under constant or fluctuating temperatures

The aim of this study is to evaluate the physiological costs and the consequences on fitness of cold exposure on the parasitoid Aphidius ervi (Hymenoptera: Aphidiinae) under non-lethal conditions. We exposed 1-day-old mummies to different treatments: control at 20°C, 7°C constant, 7°C fluctuating (7°C for 22 h and 20°C for 2 h). Two performances of fitness were particularly affected after two weeks at 7°C constant: female longevity and the sex ratio of the progeny was male biased. In contrast, egg load at emergence, lifetime fecundity, frequency of asymmetric individuals in both sexes, and mating success were not significantly affected under all treatments. The effects of these treatments on trends such as utilisation of fat reserves and fertility of males and females are discussed.     

An international basic science and clinical research summer program for medical students

An important part of training the next generation of physicians is ensuring that they are exposed to the integral role that research plays in improving medical treatment. However, medical students often do not have sufficient time to be trained to carry out any projects in biomedical and clinical research. Many medical students also fail to understand and grasp translational research as an important concept today. In addition, since medical training is often an international affair whereby a medical student/resident/fellow will likely train in many different countries during his/her early training years, it is important to provide a learning environment whereby a young medical student experiences the unique challenges and value of an international educational experience. This article describes a program that bridges the gap between the basic and clinical research concepts in a unique international educational experience. After completing two semester curricula at Alfaisal University in Riyadh, Kingdom of Saudi Arabia, six medical students undertook a summer program at St. Boniface Hospital Research Centre, in Winnipeg, MB, Canada. The program lasted for 2 mo and addressed advanced training in basic science research topics in medicine such as cell isolation, functional assessment, and molecular techniques of analysis and manipulation as well as sessions on the conduct of clinical research trials, ethics, and intellectual property management. Programs such as these are essential to provide a base from which medical students can decide if research is an attractive career choice for them during their clinical practice in subsequent years. An innovative international summer research course for medical students is necessary to cater to the needs of the medical students in the 21st century.