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91.
Richard D Antrobus Lynda Coughlan Tamara K Berthoud Matthew D Dicks Adrian VS Hill Teresa Lambe Sarah C Gilbert 《Molecular therapy》2014,22(3):668-674
Adenoviruses are potent vectors for inducing and boosting cellular immunity to encoded recombinant antigens. However, the widespread seroprevalence of neutralizing antibodies to common human adenovirus serotypes limits their use. Simian adenoviruses do not suffer from the same drawbacks. We have constructed a replication-deficient chimpanzee adenovirus-vectored vaccine expressing the conserved influenza antigens, nucleoprotein (NP), and matrix protein 1 (M1). Here, we report safety and T-cell immunogenicity following vaccination with this novel recombinant simian adenovirus, ChAdOx1 NP+M1, in a first in human dose-escalation study using a 3+3 study design, followed by boosting with modified vaccinia virus Ankara expressing the same antigens in some volunteers. We demonstrate ChAdOx1 NP+M1 to be safe and immunogenic. ChAdOx1 is a promising vaccine vector that could be used to deliver vaccine antigens where strong cellular immune responses are required for protection. 相似文献
92.
Richard D Antrobus Tamara K Berthoud Caitlin E Mullarkey Katja Hoschler Lynda Coughlan Maria Zambon Adrian VS Hill Sarah C Gilbert 《Molecular therapy》2014,22(1):233-238
Current seasonal influenza vaccines have reduced immunogenicity and are of suboptimal efficacy in older adults. We have previously shown that the novel candidate vaccine MVA-NP+M1 is able to boost memory T cell responses in adults aged 50–85 years. Preclinical studies have demonstrated that viral vectored vaccines can act as adjuvants when coadministered with protein-based vaccines. We have conducted a phase I clinical trial to compare the coadministration of seasonal influenza vaccine and MVA-NP+M1 with seasonal influenza vaccine alone in adults aged 50 years and above. This combination of vaccines was safe and well tolerated. T cell responses to internal influenza proteins were boosted to significantly higher levels in the group receiving MVA-NP+M1 compared with the group receiving seasonal influenza vaccine alone. Rates of seroprotection and seroconversion against the three vaccine strains were similar in both groups; however, there was a significant increase in the geometric mean titer ratio for the H3N2 component of seasonal influenza vaccine in the coadministration group. While some vaccine combinations result in immune interference, the coadministration of MVA-NP+M1 alongside seasonal influenza vaccine is shown here to increase some influenza strain-specific antibody responses and boost memory T cells capable of recognizing a range of influenza A subtypes. 相似文献
93.
94.
de Gouvea CV Bedran LM de Faria MA Cunha-Ferreira N 《Acta odontológica latinoamericana : AOL》2011,24(1):3-7
The aim of this study was to evaluate the in vitro changes in color and surface roughness of different composite resins when subjected to cycles of immersion in three coloring solutions: coffee, soft drink, and coffee plus soft drink. Sixty test specimens were made of each material, all in shade A3. Translucency and initial roughness measurements were taken by spectrophotometer and roughness meter. Then the samples were submitted to three cycles per day of exposure to potentially coloring solutions for a period of 15 days. Final roughness and translucency measurements were taken, the mean and standard deviation calculated for each resin and each variable. Data were initially analyzed by the one away ANOVA test, which showed significant differences between groups (p<0.05). Subsequently the post hoc and Tukey tests were performed with level of significance of 0.05. The results showed that the coloring substances altered translucency and surface roughness. DURAFILL resin immersed in the soft drink (M3) was the least pigmented, while CONCEPT resin immersed in the coffee (M2) showed the the least loss of surface smoothness. The Spearman and Pearson coefficients were 0.38 and 0.04 respectively, signifying that there is no correlation between roughness and translucency. 相似文献
95.
96.
dos Santos VM Zembrzuski MM Gouvea IP Nery NS dos Santos LA 《The West Indian medical journal》2011,60(6):690-693
We describe the case of a 72-year old male with pleural effusion associated with prostate cancer. There was a previous history of tobacco smoking (pack/year: 47) and of total prostatectomy followed by external beam radiation therapy seven years previously for prostate cancer. Furthermore, he was submitted to orchiectomy plus non-steroidal anti-androgen blockage, in addition to docetaxel-based chemotherapy and prednisone. After the beginning of chemotherapy, a progressive elevation in prostate specific antigen (PSA) levels was observed. On admission, he presented with fever, weight loss, and respiratory symptoms due to a massive right pleural effusion. Fluid samples obtained by needle aspiration showed haemorrhagic exudates without malignant cells. Pleural metastasis were detected by thorax imaging studies, and biopsy samples revealed prostate adenocarcinoma as the origin of his pleural effusion. Pleural fluid was drained and talc pleurodesis was performed. This report aims to describe the occurrence of massive pleural effusion due to metastasis of prostate cancer and emphasizes the role of pleural biopsy with immunohistochemical studies to characterize this diagnosis. 相似文献
97.
Background
Since the 1980s the Majengo Observational Cohort Study (MOCS) has examined sexually transmitted infections, in particular HIV/AIDS, in a cohort of sex workers in Majengo, an impoverished urban village in Nairobi, Kenya. The MOCS investigators have faced criticism since the women have remained in the sex trade for the duration of their participation in the study, prompting concerns about exploitation. Yet despite these concerns, the cohort has survived for almost 30 years. 相似文献98.
Dodul Mondal Pramod Kumar Julka Daya Nand Sharma Manisha Jana Macharla Anjaneyelu Laviraj Suryanarayan VS Deo Soumyajit Roy Randeep Guleria Goura K. Rath 《Journal of the Egyptian National Cancer Institute》2017,29(1):39-45
Background
Hypofractionation has become standard of care after Breast Conserving Therapy (BCT) in many European and few others western countries. Though still debatable, tumor cavity boost is routinely practised in our centre. Hypofractionation is not yet the current standard of practice in Asian countries. Employing hypofractionation and simultaneous integrated boost to lumpectomy cavity with conformal technique is not the current practice in this region. Hence the study was performed to see whether accelerated hypofractionation and simultaneous boost can be combined using volumetric modulated arc therapy (VMAT) in treating early breast cancer (EBC) patients.Patients and methods
Female patients with EBC treated by whole breast radiation and boost were treated simultaneously to a dose of 40.5 Gy and 48 Gy in fifteen fractions over three weeks to entire breast and tumor cavity respectively with VMAT. Dosimetry including target coverage, OAR (organ at risk) sparing and acute radiation toxicity were evaluated.Results
Ten consecutive patients were treated. Planning target volume (PTV) coverage and OAR sparing were mostly satisfactory. Mean volume of PTVWB and PTVBoost were 786.18 cm3 and 228.9 cm3 respectively. Mean Dmean to PTVWB and PTVBOOST were 41.9 Gy and 49.1 Gy respectively. Dmax to PTVWB and PTVBOOST were 127.56% and 110.67% respectively. Ipsilateral lung mean dose and V20 were 13.92 Gy and 21.53% respectively. V40 and V25 of heart were 0.17% and 2.25% respectively. All patients are disease free after a median follow up of two years. Most acute toxicities were Grade1. Only two patients out of ten developed Grade 2 skin reaction during radiation. Early cosmesis using Harvard cosmesis scale is good to excellent.Conclusions
Accelerated hypofractionated RT using SIB-VMAT is a clinically feasible technique with acceptable initial result. Initial results are encouraging.Mini abstract
Simultaneous integrated boost with accelerated hypofractionated whole breast radiotherapy using Volumetric Modulated Arc Therapy is a novel approach. Patient selection and technical considerations are of paramount importance. The present study describes successful implementation of this approach. 相似文献99.
Brooke E Wilson Claire E Etheridge Soundappan VS Soundappan Andrew JA Holland 《Journal of paediatrics and child health》2010,46(5):268-272
Aim: To determine the frequency and presenting features of infants with delayed diagnosis of anorectal malformations (ARM) referred to an Australian tertiary paediatric institution. Methods: Infants referred to our institution with a final diagnosis of ARM were retrospectively reviewed between 2001 and 2009. The first cohort consisted of patients that were referred between November 2001 and November 2006 with the diagnosis of an ARM that had been delayed for more than 48 h. The second cohort was those referred between December 2006 and May 2009 with whom the diagnosis of ARM had not been made within 24 h of birth. Results: Nineteen infants were referred with delayed diagnosis of an ARM over the 7.5 years of the study. Of 44 patients referred to our institution between December 2006 and May 2009, diagnosis of an ARM was delayed more than 24 h in 14 (32%). There was no difference in gender, birth weight, prematurity, type of malformation or presence of associated anomalies between those with timely and delayed diagnosis of their ARM. A significantly greater proportion of those with a delayed diagnosis presented with obstructive symptoms (86% vs. 27%, P < 0.001), including abdominal distension (57%) and delayed passage of meconium or stool (29%). Despite undergoing neonatal examination, the diagnosis of ARM was missed in 12 patients overall. Conclusion: Delayed diagnosis of an ARM appears to be common, occurring in approximately 32% of patients referred to our institution over the last 2.5 years. Current guidelines appear insufficient to ensure prompt diagnosis of ARM. 相似文献
100.
Alexandre B. Cavalcanti MD Eliezer Silva PhD Adriano J. Pereira MD Milton Caldeira-Filho MD Francisca P. Almeida RN Glauco A. Westphal MD Renate Beims RN Caio C. Fernandes MD Thiago D. Correa MD Marcos R. Gouvea BCS Jos Eluf-Neto PhD 《Journal of critical care》2009,24(3):371-378