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1.
Primary debulking surgery versus primary neoadjuvant chemotherapy for high grade advanced stage ovarian cancer : comparison of survivals
Borut Kobal, Marco Noventa, Branko Cvjetičanin, Matija Barbič, Leon Meglič, Maruša Herzog, Giulia Bordi, Amerigo Vitagliano, Carlo Saccardi, Erik Škof, 2018, original scientific article

Abstract: The aim of the study was to analyze the overall survival (OS) and progression free survival (PFS) of patients with high grade and advanced stage epithelial ovarian cancer (EOC) with at least 60 months of follow-up treated in a single gynecologic oncology institute. We compared primary debulking surgery (PDS) versus neoadjuvant chemotherapy plus interval debulking surgery (NACT + IDS) stratifying data based on residual disease with the intent to identify the rationale for therapeutic option decision and the role of laparoscopic evaluation of resectability for that intention. Patients and methods. This is observational retrospective study on consecutive patients with diagnosis of high grade and International Federation of Gynecology and Obstetrics (FIGO) stage III/IV EOC referred to our center between January 2008 and May 2012. We selected only patients with a follow-up of at least 60 months. Primary endpoint was to compare PDS versus NACT + IDS in term of progression free survival (PFS) and overall survival (OS). Secondary endpoints were PFS and OS stratifying data according to residual disease after surgery in patients receiving PDS versus NACT + IDS. Finally, through Cox hazards models, we tested the prognostic value of different variables (patient age at diagnosis, residual disease after debulking, American Society of Anesthesiologists (ASA) stage, number of adjuvantchemotherapy cycles) for predicting OS. Results. A total number of 157 patients were included in data analysis. Comparing PDS arm (108 patients) and NACT + IDS arm (49 patients) we found no significant differences in term of OS (41.3 versus 34.5 months, respectively) and PFS (17.3 versus 18.3 months, respectively). According to residual disease we found no significant differences in term of OS between NACT + IDS patients with residual disease = 0 and PDS patients with residual disease = 0 or residual disease = 1, as well as no significant differences in PFS were found comparing NACT + IDS patients with residual disease = 0 and PDS patients with residual disease = 0; contrarily, median PFS resulted significantly lower in PDS patients receiving optimal debulking (residual disease = 1) in comparison to NACT + IDS patients receiving complete debulking (residual disease = 0). PDS arm was affected by a significant higher rate of severe post-operative complications (grade 3 and 4). Diagnostic laparoscopy before surgery was significantly associated with complete debulking. Conclusions. We confirm previous findings concerning the non-superiority of NACT + IDS compared to PDS for the treatment of EOC, even if NACT + IDS treatment was associated with significant lower rate of post-operative complications. On the other hand, selecting patients for NACT + IDS, based on laparoscopic evaluation of resectabilty prolongs the PFS and does not worse the OS compared to the patients not completely debulked with PDS.
Keywords: epithelial ovarian cancer, advanced stage, primary debulking surgery, interval debulking surgery
Published in DiRROS: 11.06.2024; Views: 22; Downloads: 20
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New records of rarely reported species in the Mediterranean Sea (March 2024)
Markos Digenis, Okan Akyol, Laure Benoit, Marina Biel-Cabanelas, Öznur Yazılan Çamlik, Konstantinos Charalampous, Archontia Chatzispyrou, Borut Mavrič, Martina Orlando-Bonaca, Leon Lojze Zamuda, 2024, original scientific article

Abstract: This Collective Article presents information about 30 species with records in eight countries (Greece, Israel, Italy, Montenegro, Slovenia, Spain, Syria and Türkiye) and six ecoregions extending from the Alboran to the Levantine Seas. The recorded species belong to eight Phyla (4 Chlorophyta, 1 Rhodophyta, 1 Porifera, 3 Cnidaria, 2 Platyhelminthes, 2 Arthropoda, 2 Mollusca and 15 Chordata) as follows: Chlorophyta: Didymosporangium repens, Ochlochaete hystrix and Phaeophila hirsuta are reported for the first time from the Aegean coasts of Türkiye and Penicillus capitatus is firstly recorded in Slovenian coastal waters; Rhodophyta: Ptilophora dentata is recorded for the first time in Turkish coasts, from the entrance of a marine cave; Porifera: Tethya meloni is reported from Montenegrin waters; Cnidaria: Savalia savaglia and Dendrophyllia ramea are firstly observed north of the Almeria-Oran front in the southeastern Iberian Peninsula, while Spinimuricea cf. atlantica is firstly recorded in the Gulf of Lion constituting the easternmost record of the species in the Mediterranean Sea; Platyhelminthes: the polyclad flatworms Thysanozoon brocchii and Planocera graffi are reported for the first time from Greek waters, observed inside marine caves; Mollusca: Ascobulla fragilis is firstly reported from the Eastern Levantine Sea while the blanket octopus Tremoctopus violaceus is recorded in Izmir Bay constituting its fifth sighting in the Aegean Sea after a quarter of a century; Arthropoda: the copepod Ditrychocorycaeus africanus is firstly recorded in the Ionian Sea while the tufted ghost crab Ocypode cursor is detected further north in the Tyrrhenian Sea; Chordata: the bothid flounder Arnoglossus grohmanni is firstly reported in Spain while specimens of the rare bythitid Bellottia apoda are presented for the Adriatic Sea; the chondrichthyans Chimaera monstrosa, Dalatias licha, Heptranchias perlo, Leucoraja circularis, Mustelus mustelus, Oxynotus centrina, Squatina aculeata and Torpedo marmorata are presented as collected within 13 continuous years in the bathyal zone of the Antalya Bay; the speleophilic fish Grammonus ater is firstly recorded in the Alboran Sea, observed in a marine cave; the critically endangered sandy ray Leucoraja circularis is reported from the eastern Ionian Sea; the crested oarfish Lophotus lacepede is reported for the first time from Sardinia, based on evidence dating back 20 years; the white trevally Pseudocaranx dentex is firstly recorded in Tremiti Islands (Adriatic Sea, Italy) while the phaeton dragonet Synchiropus phaeton and the gobid Zebrus pallaoroi are firstly reported from Syrian and Italian waters, respectively.
Keywords: Mediterranean Sea, rare species, flora, fauna
Published in DiRROS: 03.06.2024; Views: 97; Downloads: 72
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Keep it simple : improving the ex situ culture of Cystoseira s.l. to restore macroalgal forests
Ana Lokovšek, Valentina Pitacco, Domen Trkov, Leon Lojze Zamuda, Annalisa Falace, Martina Orlando-Bonaca, 2023, original scientific article

Abstract: Brown algae from genus Cystoseira s.l. form dense underwater forests that represent the most productive areas in the Mediterranean Sea. Due to the combined effects of global and local stressors such as climate change, urbanization, and herbivore outbreaks, there has been a severe decline in brown algal forests in the Mediterranean Sea. Natural recovery of depleted sites is unlikely due to the low dispersal capacity of these species, and efficient techniques to restore such habitats are needed. In this context, the aims of our study were (1) to improve and simplify the current ex situ laboratory protocol for the cultivation of Gongolaria barbata by testing the feasibility of some cost-effective and time-efficient techniques on two donor sites of G. barbata and (2) to evaluate the survival and growth of young thalli during the laboratory phase and during the most critical five months after out-planting. Specifically, the following ex situ cultivation methods were tested: (A) cultivation on clay tiles in mesocosms with culture water prepared by three different procedures (a) filtered seawater with a 0.22 μm filter membrane, (b) filtered seawater with a 0.7 μm filter membrane (GF), and (c) UV-sterilized water, and (B) cultivation on clay tiles in open laboratory systems. After two weeks, all thalli were fixed to plastic lantern net baskets suspended at a depth of 2 m in the coastal sea (hybrid method), and the algal success was monitored in relation to the different donor sites and cultivation protocol. The satisfactory results of this study indicate that UV-sterilized water is suitable for the cultivation of G. barbata in mesocosm, which significantly reduces the cost of the laboratory phase. This opens the possibility of numerous and frequent algal cultures during the reproductive period of the species. Additionally, if the young thalli remain in the lantern net baskets for an extended period of several months, they can grow significantly in the marine environment without being exposed to pressure from herbivorous fish.
Keywords: gojenje ex situ, obnova habitata, izboljšanje metodologije, gozdički rjavih alg, ex situ cultivation, mesocosm, open system, method improvement, brown algal forests restoration
Published in DiRROS: 29.03.2024; Views: 230; Downloads: 130
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Ocenjevanje usposobljenosti ukrepanja zdravnikov primarnega nivoja ob paliativnem bolniku
Leon Köveš, Erika Zelko, Stanislav Malačič, 2015, published scientific conference contribution abstract

Keywords: paliativna medicina, zdravnik, bolnik
Published in DiRROS: 15.06.2020; Views: 1756; Downloads: 523
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