Relationship of Mineralogical Composition to Thermal Expansion,Spectral Reflectance,and Physico-Mechanical Aspects of Commercial Ornamental Granitic Rocks

The aim of the present study is to link the thermal expansion, spectral reflectance, and physico-mechanical aspects of different types of commercial granitic rocks with their mineralogical and chemical composition. The granitic rock types were characterized using several analyses, including petrography, chemical, mineralogical, and thermo-gravimetrical analysis using XRF, XRD, and TG/DTG/DSC techniques. The rock types were subjected to several performance tests, such as tests of their thermal expansion, spectral reflectance, and physico-mechanical properties. The results revealed that quartz, albite, and potash feldspar with minor amounts of mica (biotite/muscovite/annite) are the main mineralogical constitutes, in addition to some alteration minerals, such as kaolinite, saussorite, and prehnite. The studied granitic rocks were classified as monzogranite/syenogranite of high K-calc-alkaline and peraluminous characters and are related to late- to post-collisional settings. The thermogravimetrical analysis revealed that the overall mass loss over the whole temperature range up to 978 °C did not exceed 3% of the initial weight for all studied rocks. The results of thermal expansion revealed that the maximum change in linear thermal expansion for all rock types did not exceed 0.015% of their initial lengths at an unusual air temperature of 50 °C. The spectral analysis revealed that iron and hydroxyl ions are the main spectral absorption features that appeared in the VIS-NIR and SWIR regions, in addition to the appearance of the common and distinctive absorption peaks of the main mineral composition. Furthermore, the spectral reflectance demonstrated that the granitic rock types of low iron oxide content achieved a high reflectivity percent in the VIS-NIR and SWIR spectral regions compared with those of high iron content. As a general trend, the granitic rock types of high iron content and/or lower quartz content exhibited a high performance regarding their physical and mechanical properties, such as water absorption, apparent porosity, bulk density, compressive strength, and abrasion resistance. The results of water absorption, density, strength, and abrasion resistance of the studied granitic rocks are in the range of 0.14–0.31%, 2582–2644 kg/m³, 77.85–222.75 MPa, and 26.27–55.91 Ha, respectively, conforming to the requirements of ornamental stones according to the ASTM standard.     

Experiences and Perceptions of Older Adults with Lower-Risk Hormone Receptor-Positive Breast Cancer about Adjuvant Radiotherapy and Endocrine Therapy: A Patient Survey

Older patients with lower-risk hormone receptor-positive (HR+) breast cancer are frequently offered both radiotherapy (RT) and endocrine therapy (ET) after breast-conserving surgery (BCS). A survey was performed to assess older patients’ experiences and perceptions regarding RT and ET, and participation interest in de-escalation trials. Of the 130 patients approached, 102 eligible patients completed the survey (response rate 78%). The median age of respondents was 74 (interquartile range 71–76). Most participants (71%, 72/102) received both RT and ET. Patients felt the role of RT and ET, respectively, was to: reduce ipsilateral tumor recurrence (91%, 90/99 and 62%, 61/99) and improve survival (56%, 55/99 and 49%, 49/99). More patients had significant concerns regarding ET (66%, 65/99) than RT (39%, 37/95). When asked which treatment had the most negative effect on their quality of life, the results showed: ET (35%, 25/72), RT (14%, 10/72) or both (8%, 6/72). Participants would rather receive RT (57%, 41/72) than ET (43%, 31/72). Forty-four percent (44/100) of respondents were either, “not comfortable” or “not interested” in participating in potential de-escalation trials. Although most of the adjuvant therapy de-escalation trials evaluate the omission of RT, de-escalation studies of ET are warranted and patient centered.     

Severe hypertension secondary to renal artery stenosis and Cushing's syndrome

We present an unusual patient who simultaneously had severe renal artery stenosis RAS and Cushing's syndrome. The case highlights the difficulty of reaching a specific diagnosis of Cushing's syndrome and the possible interaction between Cushing's syndrome and some other concurrent illnesses that this patient had. A 37-year old man presented with severe hypertension HTN and uncontrolled diabetes mellitus DM without clear physical signs of Cushing's syndrome. He was found to have severe osteoporosis, proximal myopathy, several cutaneous warts, tinea versicolor, and chronic viral hepatitis. Captopril-stimulated renal scan and renal artery angiogram revealed severe RAS. Partial balloon dilatation of RAS led to improvement in HTN. Unexpectedly, urine free cortisol 24 hour was found extremely high. Serum adrenocorticotropic hormone ACTH was also elevated and high dose dexamethasone suppression tests were inconclusive. Several imaging studies failed to localize the source of ACTH. Despite normal MRI of the pituitary gland, bilateral inferior petrosal sinus sampling IPSS localized the source of ACTH secretion to the right side of the pituitary gland and right anterior hemihypophysectomy resulted in cure of Cushing's disease, HTN, DM, and tinea versicolor with significant improvement in cutaneous warts, osteoporosis, and chronic hepatitis. In conclusion, RAS and Cushing's syndrome may occur together. Significant hypercortisolemia can occur without clear signs of Cushing's syndrome. Controlling hypercortisolemia is of paramount importance when treating chronic infections in patients with Cushing's syndrome.     

Correction to: Direct oral anticoagulants for the treatment of venous thromboembolism in patients with active malignancy: a systematic review and meta-analysis

Journal of Thrombosis and Thrombolysis - Unfortunately the author list in the original article is incomplete. The correct list of contributing authors is given in this Correction.     

Geographic tonguelike presentation in a child with pityriasis rosea: Case report and review of oral manifestations of pityriasis rosea

Oral lesions are rarely reported in patients with pityriasis rosea. We report a case of a 3‐year‐old boy with clinical evidence of generalized pityriasis rosea who developed asymptomatic oral lesions similar in appearance to geographic tongue. The generalized eruption and tongue lesions resolved simultaneously within 4 weeks. We also review the literature on the oral manifestations of Pityriasis rosea.